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Interobserver Variability in the Treatment of Little Finger Metacarpal Neck Fractures

Tosti,R, Ilyas,AM, Mellema,JJ, Guitton,TG, Ring,D and Page, R. 2014, Interobserver Variability in the Treatment of Little Finger Metacarpal Neck Fractures, Journal of hand surgery, vol. 39, no. 9, pp. 1722-1727, doi: 10.1016/j.jhsa.2014.05.023.

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Title Interobserver Variability in the Treatment of Little Finger Metacarpal Neck Fractures
Author(s) Tosti,R
Ilyas,AM
Mellema,JJ
Guitton,TG
Ring,D
Page, R.ORCID iD for Page, R. orcid.org/0000-0002-2225-7144
Journal name Journal of hand surgery
Volume number 39
Issue number 9
Start page 1722
End page 1727
Total pages 6
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2014-09
ISSN 0363-5023
Summary Purpose To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. Methods Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma surgeons, were asked to review 20 little finger metacarpal neck fracture cases, which included a vignette and 3 high-quality radiographs. Members were then randomized to review radiographs with or without measured fracture angulation on the lateral view and select operative or nonoperative management. Results Surgeons shown radiographs with measured angulation were more likely to recommend surgery, and there was less variability among these surgeons, particularly for fractures with less angular deformity. Conclusions Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures.
Language eng
DOI 10.1016/j.jhsa.2014.05.023
Field of Research 110314 Orthopaedics
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30072669

Document type: Journal Article
Collection: School of Medicine
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