比较测量股骨头骺滑脱(SCFE)儿童滑脱角的不同放射学方法。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Acta radiologica Pub Date : 2024-09-01 Epub Date: 2024-08-30 DOI:10.1177/02841851241271999
Mikael Lindell, Jens Nilsson, Bengt Herngren, Jakob Örtegren, Margaretha Stenmarker, Carl Johan Tiderius, Piotr Michno
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引用次数: 0

摘要

背景:股骨头骺滑脱(SCFE)患者的治疗需要高质量的影像诊断和对滑脱程度的精确测量。在瑞典,通常使用三种不同的放射学方法:股骨小腿法、Billing法和Southwick描述的头轴角法。目的:评估在瑞典最常用的三种测量滑脱角的方法中,是否有哪一种比其他方法更有用、更具有可重复性:材料: 两名经验丰富的骨科医生测量术前髋关节X光片上的滑移角。评估了两位经验丰富的观察者之间以及治疗 SCFE 患儿的临床医生报告值之间的观察者内部和观察者之间的变异性:结果:在三种方法中,两名经验丰富的观察者与报告的临床医生之间的类内相关系数(ICC)置信区间(CI)是重叠的。在 37% 的病例中,经验丰富的观察者的测量值与临床医生的报告值相差超过 5°。两名经验丰富的骨科医生的观察者内部和观察者之间的差异较小:结论:在测量 SCFE 滑移角时,观察者的经验比选择的方法更重要。研究小组推荐使用股骨小腿法,因为该方法在多用途和常用的蛙腿侧视图上具有可行性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of different radiographic methods to measure the slip angle in children with slipped capital femoral epiphysis (SCFE).

Background: The management of patients with slipped capital femoral epiphysis (SCFE) requires imaging diagnostics of good quality and accurate measurement of the degree of slippage. In Sweden, three different radiological methods are commonly used: the calcar femorale method; the Billing method; and the Head-shaft angle described by Southwick.

Purpose: To evaluate whether any of the three most common methods used in Sweden to measure the slip angle was more useful and reproducible than the others.

Material and methods: Two experienced orthopaedists measured the slip angle in preoperative hip radiographs. Intra- and inter-observer variability between the two experienced observers and the reported value by clinicians who treated the child with SCFE was evaluated.

Results: The intraclass correlation coefficient (ICC) confidence interval (CI) between the two experienced observers and the reporting clinicians overlapped for the three methods. In 37% of the cases, the difference was more than 5° between the experienced observers' measurement and the reported value by clinicians. The two experienced orthopaedists' intra- and inter-observer variability was low.

Conclusion: The observer's experience is more important than the method of choice when measuring the slip angle in SCFE. The research group recommends the calcar femorale method due to its feasibility on the versatile and commonly used frog leg lateral view.

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来源期刊
Acta radiologica
Acta radiologica 医学-核医学
CiteScore
2.70
自引率
0.00%
发文量
170
审稿时长
3-8 weeks
期刊介绍: Acta Radiologica publishes articles on all aspects of radiology, from clinical radiology to experimental work. It is known for articles based on experimental work and contrast media research, giving priority to scientific original papers. The distinguished international editorial board also invite review articles, short communications and technical and instrumental notes.
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