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Reliability of classification of ring and little finger carpometacarpal joint fracture subluxations: a comparison between two-dimensional computed tomography and three-dimensional computed tomography classifications

Title
Reliability of classification of ring and little finger carpometacarpal joint fracture subluxations: a comparison between two-dimensional computed tomography and three-dimensional computed tomography classifications
Authors
Kim, J. H.Kwon, S. -S.Moon, S. J.Choe, J. S.Kwak, H. I.Lee, S. Y.Le, H. J.Kim, J. Y.
Ewha Authors
이승열
SCOPUS Author ID
이승열scopus
Issue Date
2016
Journal Title
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
ISSN
1753-1934JCR Link2043-6289JCR Link
Citation
vol. 41, no. 4, pp. 448 - 452
Keywords
Carpometacarpal jointfracturefracture subluxationclassificationreliability
Publisher
SAGE PUBLICATIONS LTD
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
The aims of this study were to develop a classification for ring and little finger carpometacarpal joint fracture subluxations based on three-dimensional computed tomography images and evaluate the inter- and intraobserver reliability of the three-dimensional computed tomography classification. A retrospective review was performed of 30 cases of ring and little finger carpometacarpal joint fracture subluxations from 2005 to 2013. We classified ring and little finger carpometacarpal joint fracture subluxations into three types based on three-dimensional computed tomography images. An orthopaedic surgeon with 2years of experience, a consultant hand surgeon with 8years of experience, and a consultant radiologist with 9years of experience, who were completely blind to the treatment algorithm, evaluated 30 cases twice at a 2-week interval using our new classification based on three-dimensional computed tomography images and the other classification based on two-dimensional computed tomography images. Our three-dimensional computed tomography classification showed almost perfect interobserver and intraobserver reliability and resulted in a better level of agreement than two-dimensional computed tomography classification. Level of Evidence: IV
DOI
10.1177/1753193415602589
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의료원 > 의료원 > Journal papers
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