Publication:
‘Absolute’ inter-observer classifications agreement for proximal humeral fractures with a single shoulder anteroposterior X-ray

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dc.contributor.authorRamírez Sola, Rocío
dc.contributor.authorLeón Muñoz, Vicente J.
dc.contributor.authorNajem Rizk, Antoine Nicolas
dc.contributor.authorSoler Vasco, Beatriz
dc.contributor.authorArrieta Martínez, Carlos J.
dc.contributor.authorLópez Sorroche, Eva
dc.contributor.authorCárdenas Grande, Encarnación
dc.contributor.authorSalmerón Martínez, Guillermo
dc.contributor.authorRuiz Molina, José Ángel
dc.contributor.authorMartínez Martínez, Francisco
dc.contributor.authorSantonja Medina, Fernando
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.date.accessioned2025-05-08T11:06:50Z
dc.date.available2025-05-08T11:06:50Z
dc.date.issued2021-04-26
dc.description© The Author(s) 2021. This manuscript version is made available under the CC-BY-NC 4.0 license http://creativecommons.org/licenses/by-nc/4.0/ This document is the Published Manuscript version of a Published Work that appeared in final form in Journal of Orthopaedic Surgery . To access the final edited and published work see https://doi.org/10.1177/23094990211010520
dc.description.abstractPurpose: Several studies have been carried out, and there is no classification for proximal humeral fractures (PHF) exempted from variability in interpretation and with questioned reliability. In the present study, we investigated the ‘absolute diagnostic reliability’ of the most currently used classifications for PHFs on a single anterior-posterior X-ray shoulder image. Methods: Six orthopaedic surgeons, with varying levels of experience in shoulder pathology, evaluated radiographs from 30 proximal humeral fractures, according to the ‘absolute reliability’ criteria. Each of the observers rated each fracture according to Neer, Müller/AO and Codman-Hertel’s classification systems. Results: The overall inter-observer agreement (κ) has been 0.297 (CI95% 0.280 to 0.314) for the Neer’s classification system, 0.206 (CI95% 0.193 to 0.218) for the Müller/AO classification system, and 0.315 (CI95% 0.334 to 0.368) for the Codman-Hertel classification system. We found loss of agreement in Neer’s classification as the study progressed, low agreement in the AO classification, and stable values in the different evaluations with the best degree of agreement for Codman-Hertel classification, with a moderate agreement in the second evaluation among the six evaluators. Conclusion: The Neer, AO, and Hertel-Codman classification systems for PHF with a single radiographic projection have a difficult interpretation for orthopaedic surgeons of varying levels of experience, and therefore substantial agreements are not obtained.es
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dc.format.extent7es
dc.identifier.citationJournal of Orthopaedic Surgery, 2021, Vol. 29(2)
dc.identifier.doihttps://doi.org/10.1177/23094990211010520
dc.identifier.issnPrint: 1022-5536
dc.identifier.issnElectronic: 2309-4990
dc.identifier.urihttp://hdl.handle.net/10201/154294
dc.languageenges
dc.publisherSAGE Publications
dc.relationSin financiación externa a la Universidades
dc.relation.publisherversionhttps://journals.sagepub.com/doi/10.1177/23094990211010520
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectClassificationes
dc.subjectInter observer and intra observer reliabilityes
dc.subjectProximal humeral fracturees
dc.title‘Absolute’ inter-observer classifications agreement for proximal humeral fractures with a single shoulder anteroposterior X-rayes
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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