Publication:
Diagnostic accuracy of the shaft-condylar angle for an incomplete supracondylar fracture of elbow in children

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Issued Date

2019

Resource Type

Article

File Type

application/pdf

ISSN

16338065

DOI

10.1007/s00590-019-02489-1

Other identifier(s)

2-s2.0-85068820333

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

European Journal of Orthopaedic Surgery and Traumatology. Vol 29, No.8 (2019), p.1673-1677

Suggested Citation

Sukvanich P., Samun P., Kongmalai P. Diagnostic accuracy of the shaft-condylar angle for an incomplete supracondylar fracture of elbow in children. European Journal of Orthopaedic Surgery and Traumatology. Vol 29, No.8 (2019), p.1673-1677. doi:10.1007/s00590-019-02489-1 Retrieved from: https://hdl.handle.net/20.500.14740/5042

Title

Diagnostic accuracy of the shaft-condylar angle for an incomplete supracondylar fracture of elbow in children

Author(s)

Sukvanich P.
 Samun P.
 Kongmalai P.

Abstract

Objective: The incomplete supracondylar fracture of distal humerus poses difficulty for diagnosis. A shaft-condylar angle and a lateral capitellohumeral angle, which can be measured from a routine lateral view of plain film of the injured elbow, may be a clue to assist in the diagnosis. Nevertheless, no literature explains about the accuracy of these angles for diagnosis. Our goal is to investigate the accuracy, sensitivity, specificity, positive predictive value and negative predictive value of the shaft-condylar angle and the lateral capitellohumeral angle for diagnosis of the incomplete supracondylar fracture. Methods: The retrospective study in tertiary care hospital was performed from January, 2014, to January, 2018. The patients aged below 15 years with elbow injury were recruited. The patients with complete fracture were excluded. The rest of the patients were divided into four groups which consisted of incomplete fracture and non-fracture group. With the shaft-condylar angle at 40° and the lateral capitellohumeral angle at 50°, the diagnostic accuracy of both angles were calculated. Results: A total number of patients were 53. For the SCA, the accuracy was 92%, the sensitivity was 76%, the specificity was 93%, the positive predictive value was 92% and the negative predictive value was 93%. For the LCHA, the accuracy was 70%, the sensitivity was 55%, the specificity was 72%, the positive predictive value was 67% and a negative predictive value was 72%. Conclusion: The shaft-condylar angle less than 40° in lateral elbow film might be a useful tool for diagnosis of the incomplete supracondylar fracture in pediatric patients with elbow injury. © 2019, Springer-Verlag France SAS, part of Springer Nature.

Subject(s)

Adolescent
 Article
 Child
 Diagnostic accuracy
 Diagnostic test accuracy study
 Elbow injury
 Female
 Human
 Humeral supracondylar fracture
 Incomplete humeral supracondylar fracture
 Major clinical study
 Male
 Musculoskeletal system parameters
 Predictive value
 Priority journal
 Retrospective study
 Sensitivity and specificity
 Shaft condylar angle
 Tertiary care center
 X ray
 Diagnostic imaging
 Diaphysis
 Elbow
 Epiphysis
 Humerus
 Humerus fracture
 Injury
 Preschool child
 Procedures
 Radiography
 Adolescent
 Child
 Child, Preschool
 Diaphyses
 Elbow Joint
 Epiphyses
 Female
 Humans
 Humeral Fractures
 Humerus
 Male
 Predictive Value of Tests
 Radiography
 Retrospective Studies

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URI

https://hdl.handle.net/20.500.14740/5042

Collections

Scopus: Year 1983-2021

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