Radiographic diagnosis of scapholunate dissociation among intra-articular fractures of the distal radius: interobserver reliability Gradl, Gertraud, Neuhaus, Valentin, Fuchsberger, Thomas, Guitton, Thierry G., Prommersberger, Karl-Josef, Ring, David, Wahegaonkar, Abhijeet L., Shafritz, Adam B., Garcia, Aida E., Caputo, Andrew E., Terrono, Andrew L., Spoor, Andy B., Eschler, Anica, Vochteloo, Anne J. H., Beumer, Annechien, Barquet, Antonio, Kristan, Anze, van der Zwan, Arnard L., Berner, Arne, Ilyas, Asif, Jubel, Axel, Sutker, Ben, Nolan, Betsy M., Petrisor, Brad, Cross, Brian J., Wills, Brian P. D., Page, Richard S. and Science of Variation Group 2013, Radiographic diagnosis of scapholunate dissociation among intra-articular fractures of the distal radius: interobserver reliability, Journal of hand surgery, vol. 38, no. 9, pp. 1685-1690, doi: 10.1016/j.jhsa.2013.05.039. Attached Files Name Description MIMEType Size Downloads Title Radiographic diagnosis of scapholunate dissociation among intra-articular fractures of the distal radius: interobserver reliability Author(s) Gradl, Gertraud Neuhaus, Valentin Fuchsberger, Thomas Guitton, Thierry G. Prommersberger, Karl-Josef Ring, David Wahegaonkar, Abhijeet L. Shafritz, Adam B. Garcia, Aida E. Caputo, Andrew E. Terrono, Andrew L. Spoor, Andy B. Eschler, Anica Vochteloo, Anne J. H. Beumer, Annechien Barquet, Antonio Kristan, Anze van der Zwan, Arnard L. Berner, Arne Ilyas, Asif Jubel, Axel Sutker, Ben Nolan, Betsy M. Petrisor, Brad Cross, Brian J. Wills, Brian P. D. Page, Richard S. orcid.org/0000-0002-2225-7144 Science of Variation Group Journal name Journal of hand surgery Volume number 38 Issue number 9 Start page 1685 End page 1690 Total pages 6 Publisher Elsevier Place of publication Maryland Heights, Mo. Publication date 2013-09 ISSN 0363-5023 1531-6564 Keyword(s) interobserver reliability distal radius intra-articular fracture scapholunate injury Female Humans Intra-Articular Fractures Ligaments, Articular Lunate Bone Male Observer Variation Radiography Radius Fractures Reproducibility of Results Rupture Scaphoid Bone Wrist Injuries Science of Variation Group Summary PURPOSE: To evaluate the reliability and accuracy of diagnosis of scapholunate dissociation (SLD) among AO type C (compression articular) fractures of the distal radius. METHODS: A total of 217 surgeons evaluated 21 sets of radiographs with type C fractures of the distal radius for which the status of the scapholunate interosseous ligament was established by preoperative 3-compartment computed tomographic arthrography with direct operative visualization of diagnosed SLD (reference standard). Observers were asked whether SLD was present, and if yes, whether they would recommend operative treatment. Diagnostic performance characteristics were calculated with respect to the reference standard. We assessed interobserver reliability using the Fleiss generalized kappa. RESULTS: The interobserver agreement for radiographic diagnosis of SLD was moderate (κ = 0.44). Correct diagnosis for a given set of radiographs ranged from 8% to 98% (average, 79%) of observers. Diagnostic performance characteristics were: 69% sensitivity, 84% specificity, 84% accuracy, 68% positive predictive value, and 84% negative predictive value. Based on a prevalence of 5%, Bayes adjusted positive and negative predictive values were 18% and 98%, respectively. Raters recommended operative treatment in 74% to 100% of patients diagnosed with SLD. CONCLUSIONS: Radiographs are moderately reliable and are better at ruling out than ruling in SLD associated with type C fracture of the distal radius. Language eng DOI 10.1016/j.jhsa.2013.05.039 Field of Research 110399 Clinical Sciences not elsewhere classified 1103 Clinical Sciences Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences HERDC Research category C1.1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2013, American Society for Surgery of the Hand Persistent URL http://hdl.handle.net/10536/DRO/DU:30087934 Document type: Journal Article Collections: Faculty of Health School of Medicine Related Links Link Description Connect to published version Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Thu, 20 Oct 2016, 12:50:20 EST Thu, 27 Oct 2016, 08:27:18 EST Sat, 25 Mar 2017, 05:05:51 EST Tue, 13 Jun 2017, 10:18:20 EST Tue, 13 Jun 2017, 10:27:10 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 6 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Thu, 20 Oct 2016, 12:50:20 EST

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