Matches in SemOpenAlex for { <https://semopenalex.org/work/W3179531085> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W3179531085 endingPage "2782" @default.
- W3179531085 startingPage "2778" @default.
- W3179531085 abstract "Background: An anteroposterior (AP) radiograph of the elbow in 45° of flexion has been suggested to increase the diagnostic accuracy of capitellum osteochondritis dissecans (OCD). Purpose: To assess the diagnostic performance, inter- and intraobserver reliability, and confidence level for identifying capitellum OCD using plain radiographs (AP, lateral, and 45° flexion AP). Study Design: Cohort study (Diagnosis); Level of evidence, 3. Methods: This was a retrospective study of pediatric and adolescent patients with capitellum OCD and a control group. Six independent clinicians who were blinded to the official radiologists’ reports reviewed images on 2 separate occasions, 1 week apart. A 5-point Likert scale was used to assess the clinicians’ level of confidence. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated for individual and combinations of radiographic views. Inter- and intraobserver reliability was determined using Cohen kappa (κ) coefficients. Results: A total of 28 elbows (mean age, 12.5 ± 2 years) were included. There were no differences in age ( P = .18), sex ( P = .62), or laterality ( P > .999) between groups. There were marked variations in the diagnostic accuracy between views: sensitivity (AP, 85.1; lateral, 73.2; 45° flexion AP, 91.7), specificity (AP, 89.3; lateral, 91.7; 45° flexion AP, 91.1), PPV (AP, 88.8; lateral, 89.8; 45° flexion AP, 91.1), NPV (AP, 85.7; lateral, 77.4; 45° flexion AP, 91.6), and accuracy (AP, 87.2; lateral, 82.4; 45° flexion AP, 91.4). Standard radiographs (AP and lateral views) failed to diagnose capitellum OCD in 4.8% of cases. The sensitivity of the 3 combined views was 100%. Confidence intervals in the clinicians’ diagnostic assessments were similar for each view (AP, 4.0; lateral, 4.0; and 45° flexion AP, 4.1). Interobserver reliability was substantial for AP and lateral views (κ = 0.65 and κ = 0.60, respectively) but highest for the 45° flexion AP radiographs (κ = 0.72). Intraobserver reliability for the 45° flexion AP view was moderate to almost perfect (κ = 0.45 to 0.93). Conclusion: The 45° flexion AP view can detect capitellum OCD with excellent accuracy, a high level of confidence, and substantial interobserver agreement. When added to standard AP and lateral radiographs, the 45° flexion AP view aids in the identification of capitellum OCD." @default.
- W3179531085 created "2021-07-19" @default.
- W3179531085 creator A5040955246 @default.
- W3179531085 creator A5052829588 @default.
- W3179531085 creator A5054970304 @default.
- W3179531085 creator A5059779381 @default.
- W3179531085 creator A5063227063 @default.
- W3179531085 creator A5074601127 @default.
- W3179531085 creator A5077799352 @default.
- W3179531085 date "2021-07-13" @default.
- W3179531085 modified "2023-09-27" @default.
- W3179531085 title "Association Between 45° Flexion Anteroposterior Elbow Radiographs and Diagnostic Accuracy of Capitellum Osteochondritis Dissecans" @default.
- W3179531085 cites W1987875561 @default.
- W3179531085 cites W2095036525 @default.
- W3179531085 cites W2095129980 @default.
- W3179531085 cites W2095181872 @default.
- W3179531085 cites W2153460174 @default.
- W3179531085 cites W2163603895 @default.
- W3179531085 cites W2164777277 @default.
- W3179531085 cites W2298665443 @default.
- W3179531085 cites W2592540231 @default.
- W3179531085 cites W2779372974 @default.
- W3179531085 cites W2789754643 @default.
- W3179531085 cites W2896519660 @default.
- W3179531085 cites W3034453235 @default.
- W3179531085 cites W3172713767 @default.
- W3179531085 doi "https://doi.org/10.1177/03635465211027178" @default.
- W3179531085 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34255576" @default.
- W3179531085 hasPublicationYear "2021" @default.
- W3179531085 type Work @default.
- W3179531085 sameAs 3179531085 @default.
- W3179531085 citedByCount "3" @default.
- W3179531085 countsByYear W31795310852022 @default.
- W3179531085 countsByYear W31795310852023 @default.
- W3179531085 crossrefType "journal-article" @default.
- W3179531085 hasAuthorship W3179531085A5040955246 @default.
- W3179531085 hasAuthorship W3179531085A5052829588 @default.
- W3179531085 hasAuthorship W3179531085A5054970304 @default.
- W3179531085 hasAuthorship W3179531085A5059779381 @default.
- W3179531085 hasAuthorship W3179531085A5063227063 @default.
- W3179531085 hasAuthorship W3179531085A5074601127 @default.
- W3179531085 hasAuthorship W3179531085A5077799352 @default.
- W3179531085 hasConcept C126322002 @default.
- W3179531085 hasConcept C126838900 @default.
- W3179531085 hasConcept C138885662 @default.
- W3179531085 hasConcept C141071460 @default.
- W3179531085 hasConcept C167135981 @default.
- W3179531085 hasConcept C2778724333 @default.
- W3179531085 hasConcept C2779293907 @default.
- W3179531085 hasConcept C2781184374 @default.
- W3179531085 hasConcept C29694066 @default.
- W3179531085 hasConcept C2989005 @default.
- W3179531085 hasConcept C3019131375 @default.
- W3179531085 hasConcept C36454342 @default.
- W3179531085 hasConcept C41895202 @default.
- W3179531085 hasConcept C44249647 @default.
- W3179531085 hasConcept C71924100 @default.
- W3179531085 hasConceptScore W3179531085C126322002 @default.
- W3179531085 hasConceptScore W3179531085C126838900 @default.
- W3179531085 hasConceptScore W3179531085C138885662 @default.
- W3179531085 hasConceptScore W3179531085C141071460 @default.
- W3179531085 hasConceptScore W3179531085C167135981 @default.
- W3179531085 hasConceptScore W3179531085C2778724333 @default.
- W3179531085 hasConceptScore W3179531085C2779293907 @default.
- W3179531085 hasConceptScore W3179531085C2781184374 @default.
- W3179531085 hasConceptScore W3179531085C29694066 @default.
- W3179531085 hasConceptScore W3179531085C2989005 @default.
- W3179531085 hasConceptScore W3179531085C3019131375 @default.
- W3179531085 hasConceptScore W3179531085C36454342 @default.
- W3179531085 hasConceptScore W3179531085C41895202 @default.
- W3179531085 hasConceptScore W3179531085C44249647 @default.
- W3179531085 hasConceptScore W3179531085C71924100 @default.
- W3179531085 hasFunder F4320309678 @default.
- W3179531085 hasFunder F4320310956 @default.
- W3179531085 hasIssue "10" @default.
- W3179531085 hasLocation W31795310851 @default.
- W3179531085 hasOpenAccess W3179531085 @default.
- W3179531085 hasPrimaryLocation W31795310851 @default.
- W3179531085 hasRelatedWork W1865479008 @default.
- W3179531085 hasRelatedWork W1913303846 @default.
- W3179531085 hasRelatedWork W2090155968 @default.
- W3179531085 hasRelatedWork W2157546803 @default.
- W3179531085 hasRelatedWork W2328817811 @default.
- W3179531085 hasRelatedWork W2518941430 @default.
- W3179531085 hasRelatedWork W3046899491 @default.
- W3179531085 hasRelatedWork W3179531085 @default.
- W3179531085 hasRelatedWork W3181837781 @default.
- W3179531085 hasRelatedWork W4232132330 @default.
- W3179531085 hasVolume "49" @default.
- W3179531085 isParatext "false" @default.
- W3179531085 isRetracted "false" @default.
- W3179531085 magId "3179531085" @default.
- W3179531085 workType "article" @default.