Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction
ABSTRACT OBJECTIVE: The objective of this study was to evaluate the current classifications for fractures of the distal extremity of the radius, since the classifications made using traditional radiographs in anteroposterior and lateral views have been questioned regarding their reproducibility. In the literature, it has been suggested that other options are needed, such as use of preoperative radiographs on fractures of the distal radius subjected to traction, with stratification by the evaluators. The aim was to demonstrate which classification systems present better statistical reliability. RESULTS: In the Universal classification, the results from the third-year resident group (R3) and from the group of more experienced evaluators (Staff) presented excellent correlation, with a statistically significantp-value (p < 0.05). Neither of the groups presented a statistically significant result through the Frykman classification. In the AO classification, there were high correlations in the R3 and Staff groups (respectively 0.950 and 0.800), withp-values lower than 0.05 (respectively <0.001 and 0.003). CONCLUSION: It can be concluded that radiographs performed under traction showed good concordance in the Staff group and in the R3 group, and that this is a good tactic for radiographic evaluations of fractures of the distal extremity of the radius.
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Sociedade Brasileira de Ortopedia e Traumatologia
2016
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oai:scielo:S0102-361620160001000112016-03-03Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to tractionMachado,Daniel GonçalvesCerqueira,Sergio Auto da CruzLima,Alexandre Fernandes deMathias,Marcelo Bezerra deAramburu,José Paulo GabbiRodarte,Rodrigo Ribeiro Pinho Fractures of the radius Radiography Traction ABSTRACT OBJECTIVE: The objective of this study was to evaluate the current classifications for fractures of the distal extremity of the radius, since the classifications made using traditional radiographs in anteroposterior and lateral views have been questioned regarding their reproducibility. In the literature, it has been suggested that other options are needed, such as use of preoperative radiographs on fractures of the distal radius subjected to traction, with stratification by the evaluators. The aim was to demonstrate which classification systems present better statistical reliability. RESULTS: In the Universal classification, the results from the third-year resident group (R3) and from the group of more experienced evaluators (Staff) presented excellent correlation, with a statistically significantp-value (p < 0.05). Neither of the groups presented a statistically significant result through the Frykman classification. In the AO classification, there were high correlations in the R3 and Staff groups (respectively 0.950 and 0.800), withp-values lower than 0.05 (respectively <0.001 and 0.003). CONCLUSION: It can be concluded that radiographs performed under traction showed good concordance in the Staff group and in the R3 group, and that this is a good tactic for radiographic evaluations of fractures of the distal extremity of the radius.info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.51 n.1 20162016-02-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000100011en10.1016/j.rboe.2014.12.010 |
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Machado,Daniel Gonçalves Cerqueira,Sergio Auto da Cruz Lima,Alexandre Fernandes de Mathias,Marcelo Bezerra de Aramburu,José Paulo Gabbi Rodarte,Rodrigo Ribeiro Pinho |
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Machado,Daniel Gonçalves Cerqueira,Sergio Auto da Cruz Lima,Alexandre Fernandes de Mathias,Marcelo Bezerra de Aramburu,José Paulo Gabbi Rodarte,Rodrigo Ribeiro Pinho Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction |
author_facet |
Machado,Daniel Gonçalves Cerqueira,Sergio Auto da Cruz Lima,Alexandre Fernandes de Mathias,Marcelo Bezerra de Aramburu,José Paulo Gabbi Rodarte,Rodrigo Ribeiro Pinho |
author_sort |
Machado,Daniel Gonçalves |
title |
Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction |
title_short |
Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction |
title_full |
Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction |
title_fullStr |
Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction |
title_full_unstemmed |
Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction |
title_sort |
statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction |
description |
ABSTRACT OBJECTIVE: The objective of this study was to evaluate the current classifications for fractures of the distal extremity of the radius, since the classifications made using traditional radiographs in anteroposterior and lateral views have been questioned regarding their reproducibility. In the literature, it has been suggested that other options are needed, such as use of preoperative radiographs on fractures of the distal radius subjected to traction, with stratification by the evaluators. The aim was to demonstrate which classification systems present better statistical reliability. RESULTS: In the Universal classification, the results from the third-year resident group (R3) and from the group of more experienced evaluators (Staff) presented excellent correlation, with a statistically significantp-value (p < 0.05). Neither of the groups presented a statistically significant result through the Frykman classification. In the AO classification, there were high correlations in the R3 and Staff groups (respectively 0.950 and 0.800), withp-values lower than 0.05 (respectively <0.001 and 0.003). CONCLUSION: It can be concluded that radiographs performed under traction showed good concordance in the Staff group and in the R3 group, and that this is a good tactic for radiographic evaluations of fractures of the distal extremity of the radius. |
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Sociedade Brasileira de Ortopedia e Traumatologia |
publishDate |
2016 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000100011 |
work_keys_str_mv |
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1756397745359290368 |