| Legg-calvé-perthes: interobserver and intraobserver reliability of the modified herring lateral pillar classification. | |
| | |
MedLine Citation:
|
PMID: 23389563 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: : The purpose of our study was to independently assess the reliability of the modified Herring lateral pillar classification. METHODS: : Thirty-five standardized true anteroposterior radiographs of children in the fragmentation phase were independently assessed by 6 senior observers on 2 separate occasions (6 wk apart). The κ analysis was used to assess the interobserver and intraobserver agreement. RESULTS: : Intraobserver analysis revealed at best only moderate agreement for 2 observers. Three observers showed fair consistency, whereas 1 remaining observer showed poor consistency between repeated observations (P<0.01). The highest scores for interobserver agreement varying between moderate to good could only be established between 2 observers. For the remaining observers results were just fair (P<0.01). CONCLUSIONS: : This study highlights the lack of agreement between senior clinicians when applying the modified lateral pillar classification. The results from the Herring group were significantly better than ours, but utilized a weighted κ for analysis, which may have given artificially high scores. To our knowledge, this is the first time the modified lateral pillar classification has been independently tested for its reproducibility by a specialist pediatric orthopaedic unit. |
| | |
Authors:
|
Rohan Rajan; Jeevan Chandrasenan; Kathryn Price; Chrompolis Konstantoulakis; James Metcalfe; Stanley Jones |
Related Documents
:
|
19054823 - Efficacy and toxicity of methotrexate (mtx) monotherapy versus mtx combination therapy ... 7882703 - Investigation into the duration of action of sustained-release ibuprofen in osteoarthri... 22173953 - Transcranial magnetic stimulation in mild to severe hemiparesis early after stroke: a p... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of pediatric orthopedics Volume: 33 ISSN: 1539-2570 ISO Abbreviation: J Pediatr Orthop Publication Date: 2013 Mar |
Date Detail:
|
Created Date: 2013-02-07 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8109053 Medline TA: J Pediatr Orthop Country: United States |
Other Details:
|
Languages: eng Pagination: 120-3 Citation Subset: IM |
Affiliation:
|
*Royal Derby Hospital, Derby, UK ‡Derriford Hospital, Devon, UK §Sheffield Childrens Hospital, South Yorkshire, UK †General State Hospital of Athens, Athens, Greece. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Management of legg-calvé-perthes disease using an a-frame orthosis and hip range of motion: a 25-y...
Next Document: The value of hip aspiration in pediatric transient synovitis.