Intra- and Inter-Observer Reliability of Two Common Radiographic Methods of Carpal Height Measurement

Background Carpal height is a radiographic ratio with clinical significance in rheumatologic diseases and Kienbock disease, which is measured with different methods. The purpose of this study was to assess the two popular methods of measurement of this angle with respect to inter- and intra-...

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Main Authors: Alireza Saied, Afshin Zyaei
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2009-05-01
Series:مجله دانشکده پزشکی اصفهان
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/198
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author Alireza Saied
Afshin Zyaei
author_facet Alireza Saied
Afshin Zyaei
author_sort Alireza Saied
collection DOAJ
description Background Carpal height is a radiographic ratio with clinical significance in rheumatologic diseases and Kienbock disease, which is measured with different methods. The purpose of this study was to assess the two popular methods of measurement of this angle with respect to inter- and intra-observer variability. Methods Good quality photographs were made of ten radiographs and two experienced orthopedists, in two separate occasions measured the length of third metacarpal bone, the longest length of capitates, and the distance between the base of third metacarpal bone and the articular surface of the radius. The remainder of the calculations was made by computer. Findings Intra-observer reliability of the Youm and Nattrass ratios were calculated as “high” and “fair”, respectively. With regard to inter-observer reliability, the accuracies of both indices were poor. Intra- and inter-observer agreement for detection of wrist collapse was “substantial” for Youm ratio and “fair to moderate” for Nattrass ratio. The ratios had poor agreement with each other, in regard to detection of collapse of the wrist joint. Conclusion Although neither of the ratios had perfect or high reliability with regard to the subject of the study, it seems that the accuracy of Youm index is higher than the other method.  Key words: Carpal height ratio, Intra-observer reliability, Inter-observer reliability.
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spelling doaj.art-198182b185b34e23afdad5f4f87604672023-08-02T07:15:25ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2009-05-012793107114191Intra- and Inter-Observer Reliability of Two Common Radiographic Methods of Carpal Height MeasurementAlireza Saied0Afshin Zyaei1Assistant Professor of Orthopedics, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, KermanAssistant Professor of Orthopedics, Hormozgan University of Medical Science, Bandar AbbasBackground Carpal height is a radiographic ratio with clinical significance in rheumatologic diseases and Kienbock disease, which is measured with different methods. The purpose of this study was to assess the two popular methods of measurement of this angle with respect to inter- and intra-observer variability. Methods Good quality photographs were made of ten radiographs and two experienced orthopedists, in two separate occasions measured the length of third metacarpal bone, the longest length of capitates, and the distance between the base of third metacarpal bone and the articular surface of the radius. The remainder of the calculations was made by computer. Findings Intra-observer reliability of the Youm and Nattrass ratios were calculated as “high” and “fair”, respectively. With regard to inter-observer reliability, the accuracies of both indices were poor. Intra- and inter-observer agreement for detection of wrist collapse was “substantial” for Youm ratio and “fair to moderate” for Nattrass ratio. The ratios had poor agreement with each other, in regard to detection of collapse of the wrist joint. Conclusion Although neither of the ratios had perfect or high reliability with regard to the subject of the study, it seems that the accuracy of Youm index is higher than the other method.  Key words: Carpal height ratio, Intra-observer reliability, Inter-observer reliability.http://jims.mui.ac.ir/index.php/jims/article/view/198
spellingShingle Alireza Saied
Afshin Zyaei
Intra- and Inter-Observer Reliability of Two Common Radiographic Methods of Carpal Height Measurement
مجله دانشکده پزشکی اصفهان
title Intra- and Inter-Observer Reliability of Two Common Radiographic Methods of Carpal Height Measurement
title_full Intra- and Inter-Observer Reliability of Two Common Radiographic Methods of Carpal Height Measurement
title_fullStr Intra- and Inter-Observer Reliability of Two Common Radiographic Methods of Carpal Height Measurement
title_full_unstemmed Intra- and Inter-Observer Reliability of Two Common Radiographic Methods of Carpal Height Measurement
title_short Intra- and Inter-Observer Reliability of Two Common Radiographic Methods of Carpal Height Measurement
title_sort intra and inter observer reliability of two common radiographic methods of carpal height measurement
url http://jims.mui.ac.ir/index.php/jims/article/view/198
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