Diagnosing central lesions of the triangular fibrocartilage as traumatic or degenerative: a review of clinical accuracy

This study examined the reliability of surgeons’ estimations as to whether central lesions of the triangular fibrocartilage complex were traumatic or degenerative. A total of 50 consecutive central triangular fibrocartilage complex lesions were independently rated by ten experienced wrist surgeons v...

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Veröffentlicht in:The Journal of hand surgery, European volume European volume, 2017-05, Vol.42 (4), p.357-362
Hauptverfasser: Löw, S., Erne, H., Pillukat, T., Mühldorfer-Fodor, M., Unglaub, F., Spies, C. K.
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container_end_page 362
container_issue 4
container_start_page 357
container_title The Journal of hand surgery, European volume
container_volume 42
creator Löw, S.
Erne, H.
Pillukat, T.
Mühldorfer-Fodor, M.
Unglaub, F.
Spies, C. K.
description This study examined the reliability of surgeons’ estimations as to whether central lesions of the triangular fibrocartilage complex were traumatic or degenerative. A total of 50 consecutive central triangular fibrocartilage complex lesions were independently rated by ten experienced wrist surgeons viewing high-quality arthroscopy videos. The videos were reassessed after intervals of 3 months; at the second assessment surgeons were given the patient’s history, radiographs and both, each in a randomized order. Finally, the surgeons assessed the histories and radiographs without the videos. Kappa statistics revealed fair interrater agreement when the histories were added to the videos. The other four modalities demonstrated moderate agreement, with lower Kappa values for the assessment without videos. Intra-rater reliability showed fair agreement for three surgeons, moderate agreement for two surgeons and substantial agreement for five surgeons. It appears that classification of central triangular fibrocartilage complex lesions depends on the information provided upon viewing the triangular fibrocartilage complex at arthroscopy. Level of evidence: II
doi_str_mv 10.1177/1753193416684658
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source MEDLINE; SAGE Complete; Alma/SFX Local Collection
subjects Arthroscopy
Clinical Competence
Humans
Joint Diseases - diagnostic imaging
Joint Diseases - surgery
Observer Variation
Reproducibility of Results
Triangular Fibrocartilage - injuries
Wrist Injuries - diagnostic imaging
Wrist Injuries - surgery
title Diagnosing central lesions of the triangular fibrocartilage as traumatic or degenerative: a review of clinical accuracy
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