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Interobserver variability in the treatment of little finger metacarpal neck fractures
Journal article   Open access   Peer reviewed

Interobserver variability in the treatment of little finger metacarpal neck fractures

Rick Tosti, Asif M Ilyas, Jos J Mellema, Thierry G Guitton, David Ring and Science of Variation Group
The Journal of hand surgery (American ed.), v 39(9), pp 1722-1727
01 Sep 2014
DOI: https://doi.org/10.1016/j.jhsa.2014.05.023
PMID: 25034789
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://corescholar.libraries.wright.edu/orthopaedics/101View
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Abstract

Adult Aged Female Finger Injuries - diagnostic imaging Finger Injuries - surgery Fractures, Bone - diagnostic imaging Fractures, Bone - surgery Humans Male Metacarpus - diagnostic imaging Metacarpus - injuries Middle Aged Observer Variation Practice Patterns, Physicians Radiography Random Allocation
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. 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. 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. Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures. Diagnostic III.

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
Surgery
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