Intraoperative arthroscopic classification tool for posterolateral elbow instability
Background: Introducing and implementing an arthroscopic classification tool for posterolateral elbow instability. Methods: Thirty arthroscopies were performed on 30 patients, and all recordings were collected, blinded, and labeled. Three orthopedic surgeons reviewed and scored all 30 recordings thr...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638323000610 |
| _version_ | 1797647791981330432 |
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| author | Elisabeth A. Wörner, MD Mustafa Kaynak, MD Roger van Riet, MD, PhD Bertram The, MD, PhD Denise Eygendaal, MD, PhD |
| author_facet | Elisabeth A. Wörner, MD Mustafa Kaynak, MD Roger van Riet, MD, PhD Bertram The, MD, PhD Denise Eygendaal, MD, PhD |
| author_sort | Elisabeth A. Wörner, MD |
| collection | DOAJ |
| description | Background: Introducing and implementing an arthroscopic classification tool for posterolateral elbow instability. Methods: Thirty arthroscopies were performed on 30 patients, and all recordings were collected, blinded, and labeled. Three orthopedic surgeons reviewed and scored all 30 recordings three times with a period of at least seven days in between to analyze the intraobserver and interobserver reliability. The classification consisted of five different grades. Results: Indications for elbow arthroscopy included impingement (n = 7), osteochondritis dissecans (n = 5), pain (n = 7), osteoarthritis (n = 6), and other (n = 5). The kappa value for intrarater reliability was 0.71, indicating good reliability, while the kappa value for inter-rater reliability was 0.38 indicating fair reliability. Conclusion: This new classification is a tool for an arthroscopic assessment of PLRI and can be used as a standardized grading system for further research and communication between orthopedic surgeons. We demonstrated good intrarater reliability (k = 0.71) with fair inter-rater reliability (k = 0.38). However, further research is necessary to study the clinical significance. |
| first_indexed | 2024-03-11T15:22:42Z |
| format | Article |
| id | doaj.art-f49bd101fa1442d5a356fa7a9d378e9d |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-03-11T15:22:42Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-f49bd101fa1442d5a356fa7a9d378e9d2023-10-28T05:09:45ZengElsevierJSES International2666-63832023-11-017626002604Intraoperative arthroscopic classification tool for posterolateral elbow instabilityElisabeth A. Wörner, MD0Mustafa Kaynak, MD1Roger van Riet, MD, PhD2Bertram The, MD, PhD3Denise Eygendaal, MD, PhD4Department of Orthopaedic Surgery, Erasmus MC, Rotterdam, The Netherlands; Department of Orthopaedic Surgery, Amphia Hospital, Breda, The Netherlands; Corresponding author: Elisabeth A. Wörner, MD, Department of Orthopaedic Surgery and Sports Medicine, Erasmus MC, Dr. Molewaterplein 40, Rotterdam 3015 GD, Netherlands.Department of Orthopaedic Surgery, Erasmus MC, Rotterdam, The NetherlandsDepartment of Orthopaedic Surgery, AZ Monica hospital, Deurne, BelgiumDepartment of Orthopaedic Surgery, Amphia Hospital, Breda, The NetherlandsDepartment of Orthopaedic Surgery, Erasmus MC, Rotterdam, The Netherlands; Department of Orthopaedic Surgery, Amphia Hospital, Breda, The NetherlandsBackground: Introducing and implementing an arthroscopic classification tool for posterolateral elbow instability. Methods: Thirty arthroscopies were performed on 30 patients, and all recordings were collected, blinded, and labeled. Three orthopedic surgeons reviewed and scored all 30 recordings three times with a period of at least seven days in between to analyze the intraobserver and interobserver reliability. The classification consisted of five different grades. Results: Indications for elbow arthroscopy included impingement (n = 7), osteochondritis dissecans (n = 5), pain (n = 7), osteoarthritis (n = 6), and other (n = 5). The kappa value for intrarater reliability was 0.71, indicating good reliability, while the kappa value for inter-rater reliability was 0.38 indicating fair reliability. Conclusion: This new classification is a tool for an arthroscopic assessment of PLRI and can be used as a standardized grading system for further research and communication between orthopedic surgeons. We demonstrated good intrarater reliability (k = 0.71) with fair inter-rater reliability (k = 0.38). However, further research is necessary to study the clinical significance.http://www.sciencedirect.com/science/article/pii/S2666638323000610Posterolateral elbow instabilityArthroscopyClassificationInstabilityElbowPLRI |
| spellingShingle | Elisabeth A. Wörner, MD Mustafa Kaynak, MD Roger van Riet, MD, PhD Bertram The, MD, PhD Denise Eygendaal, MD, PhD Intraoperative arthroscopic classification tool for posterolateral elbow instability JSES International Posterolateral elbow instability Arthroscopy Classification Instability Elbow PLRI |
| title | Intraoperative arthroscopic classification tool for posterolateral elbow instability |
| title_full | Intraoperative arthroscopic classification tool for posterolateral elbow instability |
| title_fullStr | Intraoperative arthroscopic classification tool for posterolateral elbow instability |
| title_full_unstemmed | Intraoperative arthroscopic classification tool for posterolateral elbow instability |
| title_short | Intraoperative arthroscopic classification tool for posterolateral elbow instability |
| title_sort | intraoperative arthroscopic classification tool for posterolateral elbow instability |
| topic | Posterolateral elbow instability Arthroscopy Classification Instability Elbow PLRI |
| url | http://www.sciencedirect.com/science/article/pii/S2666638323000610 |
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