Gartland classification concordance of supracondylar fractures among pediatric emergency medicine physicians, radiologists, and orthopedic surgeons.
Pediatr Radiol
; 54(7): 1180-1186, 2024 06.
Article
en En
| MEDLINE
| ID: mdl-38693251
ABSTRACT
BACKGROUND:
The modified Gartland classification is the most widely accepted grading method of supracondylar humeral fractures among orthopedic surgeons and is relevant to identifying fractures that may require surgery.OBJECTIVE:
To assess the interobserver reliability of the modified Gartland classification among pediatric radiologists, pediatric orthopedic surgeons, and pediatric emergency medicine physicians. MATERIALS ANDMETHODS:
Elbow radiographs for 100 children with supracondylar humeral fractures were retrospectively independently graded by two pediatric radiologists, two pediatric orthopedic surgeons, and two pediatric emergency medicine physicians using the modified Gartland classification. A third grader of the same subspecialty served as a tie-breaker as needed to reach consensus. Readers were blinded to one another and to the medical record. The modified Gartland grade documented in the medical record by the treating orthopedic provider was used as the reference standard. Interobserver agreement was assessed using kappa statistics.RESULTS:
There was substantial interobserver agreement (kappa = 0.77 [95% CI, 0.69-0.85]) on consensus fracture grade between the three subspecialties. Similarly, when discriminating between Gartland type I and higher fracture grades, there was substantial interobserver agreement between specialties (kappa = 0.77 [95% CI, 0.66-0.89]). The grade assigned by pediatric radiologists differed from the reference standard on 15 occasions, pediatric emergency medicine differed on 19 occasions, and pediatric orthopedics differed on 9 occasions.CONCLUSION:
The modified Gartland classification for supracondylar humeral fractures is reproducible among pediatric emergency medicine physicians, radiologists, and orthopedic surgeons.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Variaciones Dependientes del Observador
/
Radiólogos
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Cirujanos Ortopédicos
/
Fracturas del Húmero
Idioma:
En
Revista:
Pediatr Radiol
/
Pediatr. radiol
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Pediatric radiology
Año:
2024
Tipo del documento:
Article