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- W2023722555 abstract "Bigliani's classifications system of acromial morphology utilizing the standard outlet radiograph has become an accepted method for evaluating patients with rotator cuff disease. The aim of this study was to evaluate the interobserver and intraobserver reliability of the Bigliani's classifications system. Supraspinatus outlet view radiographs of 40 patients (aged 18 to 78) with shoulder pain were reviewed twice 4 months apart in a blinded protocol by 6 reviewers. The reviewers were given standard diagrams of the Bigliani classification system and were asked to classify each film as a type I, II or III acromion. For both readings, all 6 observers agreed only 18% of the time. Kappa values for pairwise comparison of interobserver reliability among the 6 observers ranged from 0.01 to 0.75 (mean 0.35), and intraobserver repeatability ranged from 0.26 to 0.80, with a mean of 0.55 (,0.4 poor, 0.40-0.59 fair, 0.60-0.74 good, 0.75-1.00 excellent). Intraobserver repeatability was not significantly different for the different levels of expertise. More definitive criteria are needed to distinguish and classify the acromion. The outlet view may not be necessary as a routine radiographic study of the shoulder." @default.
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- W2023722555 date "1997-05-01" @default.
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- W2023722555 title "RELIABILITY OF RADIOGRAPHIC EVALUATION FOR ACROMIAL MORPHOLOGY 17" @default.
- W2023722555 doi "https://doi.org/10.1097/00005768-199705001-00017" @default.
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