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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Main Authors: Machado,Daniel Gonçalves, Cerqueira,Sergio Auto da Cruz, Lima,Alexandre Fernandes de, Mathias,Marcelo Bezerra de, Aramburu,José Paulo Gabbi, Rodarte,Rodrigo Ribeiro Pinho
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000100011
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spelling 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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country Brasil
countrycode BR
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databasecode rev-scielo-br
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libraryname SciELO
language English
format Digital
author Machado,Daniel Gonçalves
Cerqueira,Sergio Auto da Cruz
Lima,Alexandre Fernandes de
Mathias,Marcelo Bezerra de
Aramburu,José Paulo Gabbi
Rodarte,Rodrigo Ribeiro Pinho
spellingShingle 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.
publisher Sociedade Brasileira de Ortopedia e Traumatologia
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000100011
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