Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献_第5页

Plaster cast removal simulation model for resident training.

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-28 DOI: 10.1016/j.recot.2025.02.021

F Moller-Macherone, M Lobos-Urbina, I Cañete-Campos, C Vidal-Olate, F Hodgson-Ovalle, P Murati-Carrasco, M A Ibañez-León, M J Figueroa-Gatica

{"title":"Plaster cast removal simulation model for resident training.","authors":"F Moller-Macherone, M Lobos-Urbina, I Cañete-Campos, C Vidal-Olate, F Hodgson-Ovalle, P Murati-Carrasco, M A Ibañez-León, M J Figueroa-Gatica","doi":"10.1016/j.recot.2025.02.021","DOIUrl":"10.1016/j.recot.2025.02.021","url":null,"abstract":"Purpose: Complications from cast removal are infrequent but can cause permanent skin sequelae. Formal training in cast removal is limited during residency. This study aimed to develop a plaster cast removal simulation model for resident training.Methods: Quasiexperimental study. A pediatric forearm phantom with temperature sensors was designed to simulate forearm cast removal. Six first-year orthopedic residents with no prior cast removal experience and two experts were evaluated. The residents underwent an initial evaluation, followed by an instruction session, and a final evaluation. Performance was assessed using a specific ratings scale (SRS), the Objective Structured Assessment of Technical Skills (OSATS) guideline, procedure time, and temperature measurement. Median scores with ranges were reported, and pre- and posttraining performances were compared using the Wilcoxon test. Experts scores were compared with resident scores using the Mann-Whitney test. The statistical significance was set at p<0.05.Results: Significant improvements in OSATS [(pre 22 points (range: 20-24); posttraining 25 (range: 25-28) (p=0.03)] and SRS [pre 8.5 points (range: 7-9); post 10 points (range: 8-10) (p=0.02)] were observed. No differences were found in temperature (p=0.50) and procedure time (p=0.09). When comparing residents' post-training scores with those of experts, no significant differences were found in OSATS (p=0.16), SRS (p=0.11), temperature measurement (p=0.50), or procedure time (p=0.09).Conclusions: The plaster cast removal simulation model proved to be an effective training tool for residents, enabling them to achieve expert-level competency. Significant improvements were observed in OSATS and SRS scores post-training, highlighting the positive impact of the intervention on this skill.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness, safety and efficiency of next-day discharge versus a 3-day hospital stay after primary total hip arthroplasty.

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-26 DOI: 10.1016/j.recot.2025.02.020

Juan Carlos Ferragut Bria, Francisco Antonio Miralles Muñoz, Fernando Sendra Miralles, Enrique Ruiz Piñana, Blanca González Navarro, María Flores Vizcaya Moreno

{"title":"Effectiveness, safety and efficiency of next-day discharge versus a 3-day hospital stay after primary total hip arthroplasty.","authors":"Juan Carlos Ferragut Bria, Francisco Antonio Miralles Muñoz, Fernando Sendra Miralles, Enrique Ruiz Piñana, Blanca González Navarro, María Flores Vizcaya Moreno","doi":"10.1016/j.recot.2025.02.020","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.020","url":null,"abstract":"Background: Some studies have proposed reducing unnecessary hospitalization days after total hip arthroplasty (THA) surgery to just a single overnight stay with discharge the morning after surgery. However, the available evidence on patient safety is of poor quality. The main objective was to analyze patient safety after discharge from the hospital the morning after THA surgery (rapid discharge), comparing it with the standard 3-day postoperative stay.Material and methods: A prospective, non-randomized comparative study was designed to compare two consecutive cohorts over time. The first cohort included patients with a postoperative stay of 3 days, while the second cohort had discharge the morning after surgery. The study evaluated the rate of complications and adverse events both postoperatively and after hospital discharge, as well as pain control using the visual analog scale, functional outcome using the Harris hip scale, patient satisfaction, and economic cost.Results: The rates of unexpected visits to the emergency room, early complications, readmissions, and reinterventions were similar in both groups, with no significant differences. The functional outcome was also similar in both groups, but the rapid discharge group experienced earlier recovery and significant financial savings.Conclusion: Rapid discharge, the morning after surgery, is a safe, effective and efficient procedure for primary THA in the majority of patients, with respect to a 3-day stay.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utility of postoperative drainage in total hip arthroplasty. A systematic review.

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-26 DOI: 10.1016/j.recot.2025.02.019

C Moreno-Benet, P Castells-Ayuso, I Miranda, F J Miranda

{"title":"Utility of postoperative drainage in total hip arthroplasty. A systematic review.","authors":"C Moreno-Benet, P Castells-Ayuso, I Miranda, F J Miranda","doi":"10.1016/j.recot.2025.02.019","DOIUrl":"10.1016/j.recot.2025.02.019","url":null,"abstract":"Aim and hypothesis: To investigate the advantages associated with the use of drainage in primary total hip arthroplasty (THA) versus not using drainage and to determine if drainage can be systematically discontinued. The starting hypothesis was that eliminating the use of drainage systematically in THA does not significantly increase the risk of postoperative complications.Materials and methods: A systematic review was carried out following the PRISMA guidelines in the PubMed and Cochrane Library databases. The search was conducted on February 15, 2024, by entering the terms (\"suction drainage\") AND (\"total hip arthroplasty\"). The Joanna Briggs Institute quality assessment tool was used to assess the quality of the included studies.Results: Sixteen clinical trials comparing the use of drainage with no drainage in THA were included. No differences were observed in terms of infection rate or haematoma. Some authors find that the use of drainage increases the percentage of patients requiring transfusion and the length of hospitalisation. Of 16 studies, 13 recommend not to use drainage routinely in THA.Conclusions: The use of drainage in THA has no advantage over no drainage. The results of the clinical trials reviewed suggest that drainage should not be used routinely in THA.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Translated article] Does plate fixation improve the Latarjet procedure for anterior glenohumeral instability?

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-19 DOI: 10.1016/j.recot.2025.02.017

A Portes, F Santana, C Torrens

{"title":"[Translated article] Does plate fixation improve the Latarjet procedure for anterior glenohumeral instability?","authors":"A Portes, F Santana, C Torrens","doi":"10.1016/j.recot.2025.02.017","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.017","url":null,"abstract":"The Latarjet technique is a procedure used to treat anterior glenohumeral instability with glenoid bone loss. Various fixation systems for the coracoid have been described in the literature. This study aims to compare the results in quality of life and complications between patients treated with plate and screws (GP) for coracoid fixation and those treated with screws (GSP) only. Material and methods A retrospective study including patients with anterior glenohumeral instability and glenoid bone loss treated with Latarjet at the same centre between October 2009 and February 2021. A total of 85 shoulders were analysed, of which 64 completed at least one year of follow-up. Patients with previous surgical history in the same shoulder, bone loss <10%, ligamentous hyperlaxity (Beighton score >6), and previous infections were excluded. Complications were recorded, and the WOSI and Rowe tests were used to assess quality of life and return to sports activity. Results Of the 64 patients, 35 were treated with a plate (GP) and 29 with screws (GSP). The mean age was 30 ± 8.78 years. Both groups were statistically comparable. No significant differences were found in the WOSI test (P = .140), the Rowe test (P = .380) or in complications (P = .692). A higher percentage of the GP group returned to sports activity (77.1% GP vs. 51.7% GSP, P = .039). Conclusions No statistically differences were observed in quality of life, complications, or re-dislocations. However, the use of a plate showed a greater predisposition to return to sports activity (P = .039) in patients with anterior glenohumeral instability.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Translated article] Clinical characterization of patients with tarsal coalitions. 12 years of experience in a high complexity hospital.

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-19 DOI: 10.1016/j.recot.2025.02.015

Enrique Fernández-Rojas, Manuel Monteagudo de la Rosa, Pilar Martínez de Albornoz Torrente, Ernesto Maceira Suárez

{"title":"[Translated article] Clinical characterization of patients with tarsal coalitions. 12 years of experience in a high complexity hospital.","authors":"Enrique Fernández-Rojas, Manuel Monteagudo de la Rosa, Pilar Martínez de Albornoz Torrente, Ernesto Maceira Suárez","doi":"10.1016/j.recot.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.015","url":null,"abstract":"Background Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions. Materials and methods Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed. Results Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56,5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%). Discussion In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CNC group (Fisher's Exact test, P=.032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Translated article] Concurrent uper limb and hip fracture in the elderly: experience at our centre.

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-19 DOI: 10.1016/j.recot.2025.02.014

Laura Del Baño-Barragán, Álvaro Martínez-García, Daniel Garríguez-Pérez, Jesús Mora-Fernández, Javier García-Coiradas, Jose A Valle-Cruz, Fernando Marco

{"title":"[Translated article] Concurrent uper limb and hip fracture in the elderly: experience at our centre.","authors":"Laura Del Baño-Barragán, Álvaro Martínez-García, Daniel Garríguez-Pérez, Jesús Mora-Fernández, Javier García-Coiradas, Jose A Valle-Cruz, Fernando Marco","doi":"10.1016/j.recot.2025.02.014","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.014","url":null,"abstract":"Introduction The incidence of hip fracture in the elderly is on the rise, occasionally accompanied by concurrent upper limb fractures. Our investigation aims to determine whether these patients experience poorer functional outcomes, prolonged hospitalisation, or higher mortality rates when compared to those with isolated hip fracture. Material and methods We retrospectively reviewed 1,088 elderly patients admitted to our centre with hip fracture between January 2017 and March 2020. We recorded the presence of concomitant fractures and their treatment. We analysed the duration of hospital stay, in-hospital mortality and function. Results We identified 63 patients with concomitant upper limb fracture (5.6%). Among them, 93.7% were women and the average age was 86.4 years. 80.9% of the upper limb fractures were of the distal radius or proximal humerus. Patients with concomitant fracture had increased length of stay (mean, 19.6 vs, 12.8, p = 0.002), decreased proportion of patients returning to their own home at discharge (23.6% vs, 26.3%, p = 0.042) and increased in-hospital mortality rate (9.5% vs, 5.9%, p = 0.003). Conclusions Patients with concomitant upper limb fracture require a longer length of stay and exhibit an elevated in-hospital mortality rate. Furthermore, this condition is associated with a reduced short-term functional recovery, thereby decreasing the chances of the patient returning home upon hospital discharge.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications?

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-19 DOI: 10.1016/j.recot.2025.02.016

R Luque, D Garríguez, P Checa Betegon, M Sanchez, J L Perez Gonzalez, I Dominguez Esteban

{"title":"Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications?","authors":"R Luque, D Garríguez, P Checa Betegon, M Sanchez, J L Perez Gonzalez, I Dominguez Esteban","doi":"10.1016/j.recot.2025.02.016","DOIUrl":"10.1016/j.recot.2025.02.016","url":null,"abstract":"Introduction: Stiffness is increased in vertebrae after kyphoplasty with bone cement is performed, which cause an increase in subsequent fractures in adjacent levels. This has led to increased interest in alternative filling materials such as bioactive calcium phosphate ceramics or silicon-based polymers. This study's objective is to compare the results between kyphoplasty with bone cement and with the VK100 silicone.Materials and methods: This is a comparative, prospective study involving 64 patients 64 patients, 23 treated using VK100 and 41 with PMMA. Clinical, radiological and functional results (Oswestry) and quality of life and (EQ-5D) were analyzed and compared between both groups, focusing on differences in subsequent fractures in adjacent levels.Results: There are no differences between the two treatments in terms of epidemiological factors (age and sex) or hospital management. A significant difference is observed in the gain of vertebral body height, with greater improvement in those treated with PMMA. There is also a higher fracture rate in the PMMA group, the difference is not significant. Finally, both treatments show similar outcomes in pain relief and quality of life.Conclusion: Both VK100 elastoplasty and PMMA kyphoplasty are effective treatments for vertebral fractures. VK100 has a lower rate of complications and adjacent fractures. However, long-term results in terms of pain relief and quality of life are similar, making both treatments equally valid.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Translated article] Hip fractures in Spain. How are we? Systematic review and meta-analysis of the published registries.

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.010

J H Núñez, F Moreira, M Surroca, J Martínez-Peña, M J Jiménez-Jiménez, B Ocrospoma-Flores, P Castillón, E Guerra-Farfán

{"title":"[Translated article] Hip fractures in Spain. How are we? Systematic review and meta-analysis of the published registries.","authors":"J H Núñez, F Moreira, M Surroca, J Martínez-Peña, M J Jiménez-Jiménez, B Ocrospoma-Flores, P Castillón, E Guerra-Farfán","doi":"10.1016/j.recot.2025.02.010","DOIUrl":"10.1016/j.recot.2025.02.010","url":null,"abstract":"Objective: Spain is expected to be the country with the highest life expectancy in the coming years. In this context, it is important to improve the care of hip fractures. The objective of this work was to describe the results of the registries published on hip fractures in Spain.Material and methods: Systematic review and meta-analysis of the records published on hip fractures in Spain, the last 10 years. The characteristics of the study, characteristics of the patients, of the fractures, the type of surgery, as well as morbidity and mortality were analyzed.Results: A total of 55,680 patients with a mean age of 84.6 years were analyzed, of whom 75% were women. Extracapsular fractures were the most frequent (58%). It was found that conservative treatment was applied in an average of 3% of cases. The average surgical delay was 64.7h, with a mean percentage of patients operated on within 24h at 18%, and within 48h at 40%. A mean hospitalization time of 10.7 days was found. Delirium was found to be the most frequent postoperative complication (42%). The mean transfusion rate was 36%. Mean in-hospital mortality at one month and one year was 4%, 5% and 18%, respectively.Conclusions: Less than half of patients with a hip fracture undergo surgery within 48h, despite being recommended by the majority of clinical practice guidelines. Delirium is the most frequently reported postoperative complication, and one in every 5 patients will die within a year after a hip fracture. Standardizing the management of hip fractures at the state level could improve healthcare quality and facilitate the establishment of common criteria for good clinical practice.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Artificial Intelligence to Predict Complications in Degenerative Thoracolumbar Spine Surgery: A Systematic Review.

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.007

Ricciardi Guillermo, Cirillo Totera Juan Ignacio, Pons Belmonte Rodrigo, Romero Valverde Lyanne, Lopez Muñoz Felipe, Manriquez Díaz Alan

{"title":"Use of Artificial Intelligence to Predict Complications in Degenerative Thoracolumbar Spine Surgery: A Systematic Review.","authors":"Ricciardi Guillermo, Cirillo Totera Juan Ignacio, Pons Belmonte Rodrigo, Romero Valverde Lyanne, Lopez Muñoz Felipe, Manriquez Díaz Alan","doi":"10.1016/j.recot.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.007","url":null,"abstract":"Objective: We aim to conduct a systematic review of the literature to evaluate the effectiveness of artificial intelligence prediction models in predicting complications in adult patients undergoing surgery for degenerative thoracolumbar pathology compared with other commonly used prediction techniques.Methods: A systematic literature review was conducted in Medline/Pubmed, Cochrane Library, and Lilacs/Portal de la BVS to identify machine learning models in predicting complications in patients undergoing surgery for degenerative thoracolumbar spine pathology between January 1, 2000, and May 1, 2023. The risk of bias was assessed using the PROBAST tool. Study characteristics and outcomes focusing on general or specific complications were recorded.Results: A total of 2,341 titles were identified (763 were duplicates). Screening was performed on 1,578 titles, and 22 were selected for full-text reading, with 18 exclusions and 4 publications selected for the subsequent review. Additionally, 8 publications were included from other sources (Argentine Association of Orthopedics and Traumatology Library; manual citation search). In 5 (41.6%) articles, the effectiveness of artificial intelligence predictive models was compared with conventional techniques. All were globally classified as having a very high risk of bias. Due to heterogeneity in samples, outcomes of interest, and algorithm evaluation metrics, a meta-analysis was not performed.Conclusion: Although the available evidence is limited and carries a high risk of bias, the studies analysed suggest that these models may achieve promising performance in predicting complications, with area under the curve values mostly ranging from acceptable to excellent.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interobserver reliability of classifying shoulder calcific tendinopathy on plain radiography and ultrasound. "利用平片和超声波对肩部钙化性肌腱病进行分类的观察者间可靠性"。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.008

A Fernandez-Bravo Rueda, B Gutiérrez San José, J Fernández Jara, A Fernández López, P Nuñez de Aysa, D González-Martín, E Calvo, M D Martín Ríos

{"title":"Interobserver reliability of classifying shoulder calcific tendinopathy on plain radiography and ultrasound.","authors":"A Fernandez-Bravo Rueda, B Gutiérrez San José, J Fernández Jara, A Fernández López, P Nuñez de Aysa, D González-Martín, E Calvo, M D Martín Ríos","doi":"10.1016/j.recot.2025.02.008","DOIUrl":"10.1016/j.recot.2025.02.008","url":null,"abstract":"Introduction: Shoulder calcific tendinopathy is a frequent cause of shoulder pain. Diagnosis is usually based on ultrasound (US) and/or x-ray. US is considered an inherently operator-dependent imaging modality and, interobserver variability has previously been described by experts in the musculoskeletal US. The main objective of this study is to assess the interobserver agreement for shoulder calcific tendinopathy attending to the size, type, and location of calcium analyzed in plain film and ultrasound among trained musculoskeletal radiologists.Material and methods: From June 2018 to May 2019, we conducted a prospective study. Patients diagnosed with shoulder pain related to calcific tendinopathy were included. Two different experienced musculoskeletal radiologists evaluated independently the plain film and the US.Results: Forty patients, with a mean age of 54.6 years, were included. Cohen's kappa coefficient of 0.721 and 0.761 was obtained for the type of calcium encountered in plain film and the US, respectively. The location of calcification obtained a coefficient of 0.927 and 0.760 in plain film and US, respectively. The size of the calcification presented an intraclass correlation coefficient (ICC) of 0.891 and 0.86 in plain film and US respectively. No statistically significant differences were found in either measurement.Conclusion: This study shows very good interobserver reliability of type and size measurement (plain film and US) of shoulder calcifying tendinopathy in experienced musculoskeletal radiologists.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0