How accurate and reliable are doctors in estimating fracture angulation?

被引:7
|
作者
Gaskin, J. S. H.
Pimple, M. K.
Wharton, R.
Fernandez, C.
Gaskin, D.
Ricketts, D. M.
机构
[1] Princess Royal Hosp, Dept Trauma & Orthopaed, Haywards Heath RH16 4EX, England
[2] Mayday Hosp, Croydon CR7 7YE, England
关键词
fracture angulation; forearm; wrist; accuracy; inter-observer variability; intra-observer variability; goniometer;
D O I
10.1016/j.injury.2006.09.008
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
This study assessed the accuracy of doctors in estimating fracture angulation. Radiographs of fractured wrist and forearm of varying angulations were shown to all grades of doctors in the speciality of trauma and orthopedics. They were asked to estimate the angulation at the fracture site without using a goniometer. The estimates were analysed for accuracy and variability. This study showed that doctors have a mean error of 8-9 degrees and had poor agreement with themselves and others. We recommend the use of a goniometer to assess fracture angulation. (C) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:160 / 162
页数:3
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