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• W2016036134 abstract "Treatment recommendations for metacarpal neck fractures of the small finger are generally based on the degree of apex dorsal angulation at the fracture site. We evaluated the variability of measurement of fracture angulation and the effect this variability has on treatment recommendations for these injuries. A total of 96 radiographs (anteroposterior, lateral, oblique views) of 32 patients with fractures of the small finger metacarpal neck were evaluated independently by 3 fellowship-trained orthopedic hand surgeons. Treatment recommendations for each fracture were tabulated. This process was repeated 6 weeks later to evaluate intraobserver variability. Kappa coefficients of inter- and intraobserver reliability of fracture angulation measurement and treatment plans were generated. The mean reliability coefficient of the measurement of fracture angulation between the 3 different observers was slight. Similarly, the reproducibility of fracture angulation measurement within observers was fair. Agreement between observers for appropriate treatment recommendations for each fracture was fair and agreement within observers for treatment was only slightly better. The measurement of fracture angulation of small finger metacarpal neck fractures seems to be subject to a high degree of inter- and intraobserver variability. (J Hand Surg 2002;27A:443–448. Copyright © 2002 by the American Society for Surgery of the Hand.)" @default.
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• W2016036134 date "2002-05-01" @default.
• W2016036134 modified "2023-09-27" @default.
• W2016036134 title "Radiographic assessment of small finger metacarpal neck fractures" @default.
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• W2016036134 doi "https://doi.org/10.1053/s0363-5023(06)90001-x" @default.
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