Interobserver variability in the treatment of little finger metacarpal neck fractures

Science of Variation Group

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose: To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. Methods: Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma surgeons, were asked to review 20 little finger metacarpal neck fracture cases, which included a vignette and 3 high-quality radiographs. Members were then randomized to review radiographs with or without measured fracture angulation on the lateral view and select operative or nonoperative management. Results: Surgeons shown radiographs with measured angulation were more likely to recommend surgery, and there was less variability among these surgeons, particularly for fractures with less angular deformity. Conclusions: Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures.

Original languageEnglish (US)
Pages (from-to)1722-1727
Number of pages6
JournalJournal of Hand Surgery
Volume39
Issue number9
DOIs
StatePublished - Sep 2014

Fingerprint

Metacarpal Bones
Observer Variation
Fingers
Therapeutics
Surgeons
Wounds and Injuries

Keywords

  • Boxer fracture
  • interobserver agreement
  • little finger
  • metacarpal
  • variability

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Interobserver variability in the treatment of little finger metacarpal neck fractures. / Science of Variation Group.

In: Journal of Hand Surgery, Vol. 39, No. 9, 09.2014, p. 1722-1727.

Research output: Contribution to journalArticle

Science of Variation Group. / Interobserver variability in the treatment of little finger metacarpal neck fractures. In: Journal of Hand Surgery. 2014 ; Vol. 39, No. 9. pp. 1722-1727.
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title = "Interobserver variability in the treatment of little finger metacarpal neck fractures",
abstract = "Purpose: To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. Methods: Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma surgeons, were asked to review 20 little finger metacarpal neck fracture cases, which included a vignette and 3 high-quality radiographs. Members were then randomized to review radiographs with or without measured fracture angulation on the lateral view and select operative or nonoperative management. Results: Surgeons shown radiographs with measured angulation were more likely to recommend surgery, and there was less variability among these surgeons, particularly for fractures with less angular deformity. Conclusions: Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures.",
keywords = "Boxer fracture, interobserver agreement, little finger, metacarpal, variability",
author = "{Science of Variation Group} and Rick Tosti and Ilyas, {Asif M.} and Mellema, {Jos J.} and Guitton, {Thierry G.} and David Ring and Spoor, {A. B.} and Shafritz, {A. B.} and A. Platz and A. Berner and Terrono, {A. L.} and A. Jubel and Kreis, {B. E.} and Hearon, {B. F.} and Bottke, {C. A.} and H. Broekhuyse and R. Buckley and B. Watkins and Fernandes, {C. H.} and C. Metzger and C. Taleb and Bainbridge, {L. C.} and C. Cornell and {Van Deurzen}, {D. F.P.} and Osei, {D. A.} and D. Haverkamp and Oloruntoba, {D. O.} and D. Eygendaal and Verbeek, {D. O.F.} and Kalainov, {D. M.} and D. Polatsch and P. Melvanki and M. Shafi and {Van Riet}, R. and D. Ruchelsman and Duncan, {S. F.} and {Stojkovska Pemovska}, E. and Tolo, {E. T.} and Schumer, {E. D.} and F. Frihagen and Raia, {F. J.} and G. DeSilva and Dyer, {G. S.M.} and Frykman, {G. K.} and G. Kontakis and R. Gaston and G. Garrigues and Hernandez, {G. R.} and Grunwald, {H. W.} and Mormino, {Matthew A} and Streubel, {Philipp N}",
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AU - Science of Variation Group

AU - Tosti, Rick

AU - Ilyas, Asif M.

AU - Mellema, Jos J.

AU - Guitton, Thierry G.

AU - Ring, David

AU - Spoor, A. B.

AU - Shafritz, A. B.

AU - Platz, A.

AU - Berner, A.

AU - Terrono, A. L.

AU - Jubel, A.

AU - Kreis, B. E.

AU - Hearon, B. F.

AU - Bottke, C. A.

AU - Broekhuyse, H.

AU - Buckley, R.

AU - Watkins, B.

AU - Fernandes, C. H.

AU - Metzger, C.

AU - Taleb, C.

AU - Bainbridge, L. C.

AU - Cornell, C.

AU - Van Deurzen, D. F.P.

AU - Osei, D. A.

AU - Haverkamp, D.

AU - Oloruntoba, D. O.

AU - Eygendaal, D.

AU - Verbeek, D. O.F.

AU - Kalainov, D. M.

AU - Polatsch, D.

AU - Melvanki, P.

AU - Shafi, M.

AU - Van Riet, R.

AU - Ruchelsman, D.

AU - Duncan, S. F.

AU - Stojkovska Pemovska, E.

AU - Tolo, E. T.

AU - Schumer, E. D.

AU - Frihagen, F.

AU - Raia, F. J.

AU - DeSilva, G.

AU - Dyer, G. S.M.

AU - Frykman, G. K.

AU - Kontakis, G.

AU - Gaston, R.

AU - Garrigues, G.

AU - Hernandez, G. R.

AU - Grunwald, H. W.

AU - Mormino, Matthew A

AU - Streubel, Philipp N

PY - 2014/9

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N2 - Purpose: To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. Methods: Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma surgeons, were asked to review 20 little finger metacarpal neck fracture cases, which included a vignette and 3 high-quality radiographs. Members were then randomized to review radiographs with or without measured fracture angulation on the lateral view and select operative or nonoperative management. Results: Surgeons shown radiographs with measured angulation were more likely to recommend surgery, and there was less variability among these surgeons, particularly for fractures with less angular deformity. Conclusions: Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures.

AB - Purpose: To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. Methods: Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma surgeons, were asked to review 20 little finger metacarpal neck fracture cases, which included a vignette and 3 high-quality radiographs. Members were then randomized to review radiographs with or without measured fracture angulation on the lateral view and select operative or nonoperative management. Results: Surgeons shown radiographs with measured angulation were more likely to recommend surgery, and there was less variability among these surgeons, particularly for fractures with less angular deformity. Conclusions: Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures.

KW - Boxer fracture

KW - interobserver agreement

KW - little finger

KW - metacarpal

KW - variability

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