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Related Experiment Video

Updated: Mar 24, 2026

Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions
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Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions

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Partial Flexor Tendon Laceration Assessment: Interobserver and Intraobserver Reliability.

B Justin Barker, Gregory P Kolovich, Ryan D Klinefelter1

  • 1OrthoNeuro, Columbus, OH. rklinefelter@orthoneuro.com.

American Journal of Orthopedics (Belle Mead, N.J.)
|March 19, 2016
PubMed
Summary
This summary is machine-generated.

Assessing hand flexor tendon lacerations is challenging. Even experienced surgeons struggle with accuracy, indicating a need for improved diagnostic methods for these injuries.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Anatomical Research

Background:

  • Accurate assessment of partial-thickness flexor tendon lacerations is crucial for effective treatment.
  • Subjectivity in evaluation makes precise diagnosis difficult, impacting patient outcomes.

Purpose of the Study:

  • To evaluate the accuracy of orthopedic residents and fellowship-trained hand surgeons in estimating flexor tendon laceration thickness.
  • To assess interobserver and intraobserver agreement in evaluating these injuries.

Main Methods:

  • 12 partial-thickness flexor tendon lacerations were created in a cadaveric hand model.
  • Orthopedic residents and hand surgeons estimated laceration percentages over two separate readings.
  • Actual laceration thickness was measured using digital microcalipers for comparison.

Main Results:

  • Surgeons' estimates significantly differed from calibrated measurements.
  • Fellowship-trained hand surgeons were more accurate than residents, though third-year residents showed the best resident accuracy.
  • Interobserver agreement was poor, while intraobserver agreement was moderate, with fellowship-trained surgeons and first-year residents showing the highest intraobserver reliability.

Conclusions:

  • Accurate assessment of flexor tendon lacerations remains a significant clinical challenge.
  • Surgical experience does not appear to consistently improve the accuracy of estimating laceration depth.