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Rev Bras Ortop. 2015 Jul 26;50(4):378-82. doi: 10.1016/j.rboe.2015.07.003. eCollection 2015.

Evaluation of the reproducibility of the AO/ASIF classification for humeral shaft fractures.

Revista brasileira de ortopedia

Gustavo Soriano Pignataro, André Elias Junqueira, Fabio Teruo Matsunaga, Marcelo Hide Matsumoto, João Carlos Belloti, Marcel Jun Sugawara Tamaoki

Affiliations

  1. Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

PMID: 26417565 PMCID: PMC4563077 DOI: 10.1016/j.rboe.2015.07.003

Abstract

OBJECTIVE: To evaluate the reproducibility of the AO/Asif classification for humeral shaft fractures.

METHODS: Consecutive radiographs of the arm in both anteroposterior and lateral view from 60 patients with humeral shaft fractures were analyzed. Six observers who were familiar with the AO/Asif classification (three shoulder and elbow surgery specialists and three general orthopedists) were selected to make the analysis, which was done at three different times. The data were subjected to statistical analysis using the kappa coefficient.

RESULTS: The intra and interobserver concordance was statistically significant in all the analyses.

CONCLUSIONS: All the evaluators showed concordance between the three evaluations that was considered to be statistically significant. However, the highest values were found among the specialists.

Keywords: Humeral fractures/classification; Humeral fractures/radiograph; Humeral fractures/surgery

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