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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Format: | Article |
Language: | fas |
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Isfahan University of Medical Sciences
2009-05-01
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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. |
first_indexed | 2024-03-12T18:50:16Z |
format | Article |
id | doaj.art-198182b185b34e23afdad5f4f8760467 |
institution | Directory Open Access Journal |
issn | 1027-7595 1735-854X |
language | fas |
last_indexed | 2024-03-12T18:50:16Z |
publishDate | 2009-05-01 |
publisher | Isfahan University of Medical Sciences |
record_format | Article |
series | مجله دانشکده پزشکی اصفهان |
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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