Radiographic diagnosis of scapholunate dissociation among intra-articular fractures of the distal radius: interobserver reliability.
Gertraud Gradl, Valentin Neuhaus, Thomas Fuchsberger, Thierry G Guitton, Karl-Josef Prommersberger, David Ring, undefined Science of Variation Group
The Journal Of Hand Surgery | Published : 2013
PURPOSE: To evaluate the reliability and accuracy of diagnosis of scapholunate dissociation (SLD) among AO type C (compression articular) fractures of the distal radius. METHODS: A total of 217 surgeons evaluated 21 sets of radiographs with type C fractures of the distal radius for which the status of the scapholunate interosseous ligament was established by preoperative 3-compartment computed tomographic arthrography with direct operative visualization of diagnosed SLD (reference standard). Observers were asked whether SLD was present, and if yes, whether they would recommend operative treatment. Diagnostic performance characteristics were calculated with respect to the reference standard. ..View full abstract