Radiographic assessment of calcifying tendinitis of the rotator cuff : an inter- and intraobserver study / Jan Louwerens in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 525-531 Titre : Radiographic assessment of calcifying tendinitis of the rotator cuff : an inter- and intraobserver study Type de document : texte imprimé Auteurs : Jan Louwerens, Auteur Année de publication : 2020 Article en page(s) : p. 525-531 Langues : Anglais (eng) Résumé : The radiographic appearance of calcific tendinitis of the rotator cuff varies according to the stage of the disease. We compared currently used classification systems in a large group of observers to identify the most reliable classification system. Thirty-seven orthopaedic surgeons evaluated shoulder radio- graphs of 25 patients to classify the stage of the calcific tendinitis according to the classifications by (1) Gärtner and (2) Molé on a Web-based study platform. Inter and intraobserver agreement among observers was measured using the Siegel and Castellan multirater κ. Both classification systems had fair interobserver agreement : κ was 0.25 for the Molé classification and 0.34 for the Gärtner classification. The Gärtner classification was significantly more reliable than the Molé classification. Currently there is no radiographic classification that can serve the purpose of guiding the treatment in a reliable way. Permalink : ./index.php?lvl=notice_display&id=92022 [article] Radiographic assessment of calcifying tendinitis of the rotator cuff : an inter- and intraobserver study [texte imprimé] / Jan Louwerens, Auteur . - 2020 . - p. 525-531. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 525-531 Résumé : The radiographic appearance of calcific tendinitis of the rotator cuff varies according to the stage of the disease. We compared currently used classification systems in a large group of observers to identify the most reliable classification system. Thirty-seven orthopaedic surgeons evaluated shoulder radio- graphs of 25 patients to classify the stage of the calcific tendinitis according to the classifications by (1) Gärtner and (2) Molé on a Web-based study platform. Inter and intraobserver agreement among observers was measured using the Siegel and Castellan multirater κ. Both classification systems had fair interobserver agreement : κ was 0.25 for the Molé classification and 0.34 for the Gärtner classification. The Gärtner classification was significantly more reliable than the Molé classification. Currently there is no radiographic classification that can serve the purpose of guiding the treatment in a reliable way. Permalink : ./index.php?lvl=notice_display&id=92022

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