OBSERVER VARIATION IN THE RADIOGRAPHIC CLASSIFICATION OF ANKLE FRACTURES

被引:122
作者
THOMSEN, NOB [1 ]
OVERGAARD, S [1 ]
OLSEN, LH [1 ]
HANSEN, H [1 ]
NIELSEN, ST [1 ]
机构
[1] SONDERBORG HOSP,DEPT DIAGNOST RADIOL,DK-6400 SONDERBORG,DENMARK
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1991年 / 73卷 / 04期
关键词
D O I
10.1302/0301-620X.73B4.2071659
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We recorded inter- and intra-observer variations in the classification of ankle fractures by the Lauge Hansen and Weber systems. Radiographs of 94 patients were classified independently by four observers. The observer variation was calculated by kappa statistics, which corrects the obtained values for the agreement expected by chance. There was an acceptable level of agreement for the overall classification into both systems. For the staging of supination-adduction and supination-eversion fractures in the Lauge Hansen system the agreement was poor. The results indicate that future classification systems should be subject to reliability analysis before they are accepted.
引用
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页码:676 / 678
页数:3
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