Langenskiöld Classification of Tibia Vara: An Assessment of Interobserver Variability
Six pediatric orthopaedic specialists and six senior orthopaedic residents independently classified 60 radiographs of infantile tibia vara according to the six-stage Langenskiöld classification. Correlation coefficients and percentage agreement were similar in both groups. Interobserver agreement wa...
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Veröffentlicht in: | Journal of pediatric orthopaedics 1994-03, Vol.14 (2), p.152-155 |
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creator | Stricker, Stephen J Edwards, Paul M Tidwell, Michael A |
description | Six pediatric orthopaedic specialists and six senior orthopaedic residents independently classified 60 radiographs of infantile tibia vara according to the six-stage Langenskiöld classification. Correlation coefficients and percentage agreement were similar in both groups. Interobserver agreement was good for early and late stages, but was poor for intermediate stages. We caution clinicians that small but frequent discrepancies in radiographic staging impart a dubious prognostic value to the Langenskiöld classification. |
doi_str_mv | 10.1097/01241398-199403000-00004 |
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Correlation coefficients and percentage agreement were similar in both groups. Interobserver agreement was good for early and late stages, but was poor for intermediate stages. We caution clinicians that small but frequent discrepancies in radiographic staging impart a dubious prognostic value to the Langenskiöld classification.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/01241398-199403000-00004</identifier><identifier>PMID: 8188825</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Biological and medical sciences ; Bone Diseases, Developmental - classification ; Bone Diseases, Developmental - diagnostic imaging ; Child ; Child, Preschool ; Diseases of the osteoarticular system ; Humans ; Infant ; Malformations and congenital and or hereditary diseases involving bones. 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Correlation coefficients and percentage agreement were similar in both groups. Interobserver agreement was good for early and late stages, but was poor for intermediate stages. We caution clinicians that small but frequent discrepancies in radiographic staging impart a dubious prognostic value to the Langenskiöld classification.</description><subject>Biological and medical sciences</subject><subject>Bone Diseases, Developmental - classification</subject><subject>Bone Diseases, Developmental - diagnostic imaging</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Humans</subject><subject>Infant</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Observer Variation</subject><subject>Radiography</subject><subject>Tibia</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1O3DAQx62qFWyBR6iUQ9Vb6PgjsdPbasWXtBIXytWaOHZx8SbgyYJ4MV6AF2u2u-yNgzWH_2_Gnp8ZKziccmj0T-BCcdmYkjeNAgkA5XRAfWIzXsmmFJWGz2wGQvOy1o05ZF-J_gJwLZU8YAeGG2NENWO3S-z_-J7u49tr6opFQqIYosMxDn0xhOImthGLW8z4q5j3xZzIE618P27Cq370eWjJ5yefN1DENqY4vhyzLwET-ZNdPWK_z89uFpfl8vriajFflk7yWpVGBC-CaUNrQGoljGldXaMKsqu1d7xVQulpwy5MS0njkTcaQGAHQaLTQR6xH9u5D3l4XHsa7SqS8ylh74c1WV2rRtVQTaDZgi4PRNkH-5DjCvOL5WA3Su27UrtXav8rnVq_7e5Ytyvf7Rt3Dqf8-y5HcphCxt5F2mPTw6uKbzC1xZ6HNFmj-7R-9tneeUzjnf3oQ-U_nYeObQ</recordid><startdate>199403</startdate><enddate>199403</enddate><creator>Stricker, Stephen J</creator><creator>Edwards, Paul M</creator><creator>Tidwell, Michael A</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199403</creationdate><title>Langenskiöld Classification of Tibia Vara: An Assessment of Interobserver Variability</title><author>Stricker, Stephen J ; Edwards, Paul M ; Tidwell, Michael A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3164-82fe2f8bfb80374288bc66a4f3d67ec1b4247994df53938ea197002ad0f3ac7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Biological and medical sciences</topic><topic>Bone Diseases, Developmental - classification</topic><topic>Bone Diseases, Developmental - diagnostic imaging</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Humans</topic><topic>Infant</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>Observer Variation</topic><topic>Radiography</topic><topic>Tibia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stricker, Stephen J</creatorcontrib><creatorcontrib>Edwards, Paul M</creatorcontrib><creatorcontrib>Tidwell, Michael A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stricker, Stephen J</au><au>Edwards, Paul M</au><au>Tidwell, Michael A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Langenskiöld Classification of Tibia Vara: An Assessment of Interobserver Variability</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1994-03</date><risdate>1994</risdate><volume>14</volume><issue>2</issue><spage>152</spage><epage>155</epage><pages>152-155</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>Six pediatric orthopaedic specialists and six senior orthopaedic residents independently classified 60 radiographs of infantile tibia vara according to the six-stage Langenskiöld classification. Correlation coefficients and percentage agreement were similar in both groups. Interobserver agreement was good for early and late stages, but was poor for intermediate stages. We caution clinicians that small but frequent discrepancies in radiographic staging impart a dubious prognostic value to the Langenskiöld classification.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8188825</pmid><doi>10.1097/01241398-199403000-00004</doi><tpages>4</tpages></addata></record> |
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subjects | Biological and medical sciences Bone Diseases, Developmental - classification Bone Diseases, Developmental - diagnostic imaging Child Child, Preschool Diseases of the osteoarticular system Humans Infant Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Observer Variation Radiography Tibia |
title | Langenskiöld Classification of Tibia Vara: An Assessment of Interobserver Variability |
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