Publication: Reliability of the radiographic views in supine position for evaluation of displaced midshaft clavicle fracture length
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0
Issued Date
2020
Resource Type
File Type
application/pdf
ISSN
10225536
Other identifier(s)
2-s2.0-85090787643
Rights Holder(s)
Scopus
Bibliographic Citation
Journal of Orthopaedic Surgery. Vol 28, No.3 (2020)
Suggested Citation
Kongmalai P., Chiaprasert P., Rungsinaporn V. Reliability of the radiographic views in supine position for evaluation of displaced midshaft clavicle fracture length. Journal of Orthopaedic Surgery. Vol 28, No.3 (2020). doi:10.1177/2309499020952295 Retrieved from: https://hdl.handle.net/20.500.14740/4573
Author(s)
Abstract
Purpose: To analyze the agreement of the displaced midshaft clavicle fracture length measurement between each of the supine radiographic position (chest anteroposterior (AP), both clavicle AP, and 20° cephalic tilt clavicle AP view) and computed tomography (CT) scan of the clavicle. Furthermore, the inter- and intraobserver reliability of each radiographic position was analyzed. Methods: Prospective cross-sectional study was performed with patients diagnosed with displaced midshaft clavicle fracture treated conservatively. Three views of radiographs and CT scan of clavicle were obtained in supine position after informed consent. The measurement of fractured clavicle length was done by three observers at the time and after 4 weeks interval. Results: Thirty-three patients (25 males and 8 females), with a mean age of 45, were recruited. The agreement between each of the radiographic measurement and CT scan was good. The interobserver reliability was moderate to good for radiographic measurement. The highest intraclass correlation coefficient (ICC) of 0.80–0.81 was shown between the 20° cephalic tilt and the CT scan, followed by the both clavicle AP (0.75–0.77) and the chest AP (0.69–0.75), respectively. There was an excellent intraobserver reliability for all of the radiographic measurement with the ICC 0.92–0.99. Conclusion: The supine radiographs could be a useful option to measure the displaced midshaft clavicle fracture length. The recommended view was the 20° cephalic tilt clavicle AP view in supine position to best evaluate the fractured clavicle length. © The Author(s) 2020.
Subject(s)
Adult
Age
Aged
Article
Clavicle fracture
Clinical article
Computer assisted tomography
Cross-sectional study
Displaced midshaft clavicle fracture length measurement
Female
Fracture dislocation
Gender
Human
Informed consent
Interrater reliability
Intrarater reliability
Male
Prospective study
Reliability
Supine position
Thorax radiography
Very elderly
Age
Aged
Article
Clavicle fracture
Clinical article
Computer assisted tomography
Cross-sectional study
Displaced midshaft clavicle fracture length measurement
Female
Fracture dislocation
Gender
Human
Informed consent
Interrater reliability
Intrarater reliability
Male
Prospective study
Reliability
Supine position
Thorax radiography
Very elderly