SHORTENING OF CLAVICLE FRACTURES: PHYSICAL VERSUS IMAGE EXAMINATIONS.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243202e274209

Rodrigo Alves Beraldo, Caroline Izidorio Bernardes Silva, Hélio Henrique de Paiva, Ewerton Alexandre Galdeano, Renato de Moraes

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引用次数: 0

Abstract

Objective: Determine the reliability of three different methods of evaluating bone shortening in displaced midshaft clavicle fractures (DCMF).

Method: A cross-sectional analytical study evaluated bone shortening by metric tape (MT), radiography (X-ray), and computed tomography (CT). Twenty-six men had been evaluated and used clavícula not broken as control. The collection of data was of the blind type for three specialists. Differences and reliability were analyzed with the Friedman and Kappa tests and validated with the T-test (CI: 95%; significance index p<0.05; Software "R" version 3.2.2).

Results: The MT measurements (control) showed abnormal distribution and significant statistical difference concerning the imaging tests (p=0.000008). There was a similarity between X-ray and CT and Kappa agreement of 0.65. The fractured clavicles presented similar measurements between the three methods (p=0.059), and the T-tests proved that the similarity was caused by chance or possible measurement errors.

Conclusion: Measurement by metric tape showed a tendency to overestimate bone shortening. The CT showed more reliable results for the diagnosis; however, the X-ray was sufficient for decision-making by surgeons, and therefore, it is not possible to rule out the importance of this resource for DCMF. Level of Evidence IV; Case-Control Study.

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锁骨骨折缩短：物理检查与图像检查

目的：确定评估移位性锁骨中轴骨折（DCMF）骨缩短的三种不同方法的可靠性：确定评估锁骨中轴移位骨折（DCMF）骨缩短的三种不同方法的可靠性：一项横断面分析研究通过米尺（MT）、X 射线照相术（X 光）和计算机断层扫描（CT）评估骨缩短情况。26名男性接受了评估，并以未骨折的锁骨作为对照。三位专家采用盲法收集数据。用弗里德曼检验和卡帕检验分析了差异和可靠性，并用 T 检验进行了验证（CI：95%；显著性指数 pResults）：MT测量结果（对照组）显示出异常分布，与影像学检测结果存在显著的统计学差异（P=0.000008）。X 射线和 CT 的相似性和 Kappa 一致度为 0.65。三种方法对骨折锁骨的测量结果相似（P=0.059），T检验证明相似性是偶然或可能的测量误差造成的：结论：用米尺测量有高估骨缩短的倾向。CT显示出更可靠的诊断结果；然而，X光片足以让外科医生做出决策，因此，不能排除这一资源对DCMF的重要性。证据等级 IV；病例对照研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.