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Interobserver Variability in the Treatment of Little Finger Metacarpal Neck Fractures

Version 3 2024-10-19, 23:51
Version 2 2024-06-03, 20:39
Version 1 2015-04-23, 16:43
journal contribution
posted on 2024-10-19, 23:51 authored by Rick Tosti, Asif M Ilyas, Jos J Mellema, Thierry G Guitton, David Ring, AB Spoor, AB Shafritz, A Platz, A Berner, AL Terrono, A Jubel, BE Kreis, BF Hearon, CA Bottke, H Broekhuyse, R Buckley, B Watkins, CH Fernandes, C Metzger, C Taleb, LC Bainbridge, C Cornell, DFP Van Deurzen, DA Osei, D Haverkamp, DO Oloruntoba, D Eygendaal, DOF Verbeek, DM Kalainov, D Polatsch, P Melvanki, M Shafi, R Van Riet, D Ruchelsman, SF Duncan, E Stojkovska Pemovska, ET Tolo, ED Schumer, F Frihagen, FJ Raia, G DeSilva, GSM Dyer, GK Frykman, G Kontakis, R Gaston, G Garrigues, GR Hernandez, HW Grunwald, GW Balfour, M Nancollas, C Young, GM Pess, H Durchholz, K Erol, J Biert, J Choueka, JM Wolf, JN Doornberg, KJ Ponsen, S Kakar, K Eng, K Jeray, K Lee, KM Rumball, K Kabir, GA Kraan, LMSJ Poelhekke, M Ladislav, L Weiss, LC Borris, L Paz, M Mormino, M Bonczar, EM Hammerberg, M Kastelec, M Calcagni, AD Mazzocca, M Darowish, RM Costanzo, MI Abdel-Ghany, M Baskies, M Patel, M Prayson, M Tyllianakis, N Elias, NL Shortt, NL Leung, NK Kanakaris, R Omid, E Forigua Jaime, PRG Brink, P Kloen, PV Van Eerten, P Lygdas, P Benhaim, F García, L Guenter, R Haverlag, R Liem, RM Smith, Richard PageRichard Page, A Schmidt, S Mitchell, S Dodds, BM Nolan, S Moghtaderi, T Siff, T Begue, T Hughes, TG Stackhouse, T Tosounidis, V Philippe, CJ Wall, WC Hammert, Y Weil, W Satora, J Fischer, AL Van Der Zwan, J Adams, AE Garcia, AJH Vochteloo, A Barquet, A Kristan, HB Bamberger, MPJ Van Den Bekerom, WD Belangero, WT Benjamin, FL Walter, M Boyer, BPD Wills, RP Calfee, C Ekholm, C Swigart, C Cassidy, CD Oliveira Miranda, CJ Wilson, J Moreta-Suarez, C Wilson, CL Moreno-Serrano, C Manke, CM Jones, C Klostermann, GJ Della Rocca, CJ Barreto, M Merchant, D Brilej, N Bijlani, DM Silva, E Harvey, ET Walbeehm, F Suarez, F Lopez-Gonzalez, GC Caro, C Garnavos, GS Athwal, GC Babis, G Kohut, G Gradl, GM Huemer, CA Goldfarb, GJ Bayne, LAB Campinhos, AP Gutow, SC Marczyk, LB Lane, H Goost, HA Villamizar, E Hofmeister, I McGraw, JC Goslings, JF Di Giovanni, JM Abzug, J McAuliffe, J Isaacs, J Itamura, JM Conflitti, J Munyak, J Nolla, JH Scheer, JM Erickson, J Wint, K Chivers, DK Kirkpatrick, KJ Malone, K Dickson, LE Adolfsson, MAJ Van De Sande, MJ Richard, M Menon, M Soong, MM Wood, M Quell, M Behrman, MW Kessler, MJ Palmer, M Pirpiris, MW Grafe, N Schep, DL Nelson, N Wilson, JT Capo, J Calandruccio, OM Semenkin, CJH Veillette, M Richardson, P Inna, P Althausen, PA Martineau, P Blazar, P Hahn, P Schandelmaier, P Guidera, P Jebson, WA Batson, R De Bedout, R Shatford, S Rowinski, RM Fricker, R Hauck, R Wallensten, R Papandrea, RS Gilbert, M Rizzo, RL Hutchison, RD Zura, R Cardoso, R Pesantez, S Spruijt, SA Kennedy, S Mehta, S Beldner, S Kaplan, SG Kaar, SA Meylaerts, PN Streubel, T Omara, M Swiontkowski, T Gosens, T DeCoster, T Baxamusa, T Dienstknecht, FTD Kaplan, T Higgins, T Mittlmeier, T Apard, TJ Fischer, T Havliček, T Wyrick, V Giordano, V Neuhaus, VS Nikolaou, T Wright, C Zalavras
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.

History

Journal

Journal of hand surgery

Volume

39

Pagination

1722-1727

Location

Amsterdam, The Netherlands

ISSN

0363-5023

Publication classification

C Journal article, C1 Refereed article in a scholarly journal

Copyright notice

2014, Elsevier

Issue

9

Publisher

Elsevier, Inc.

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