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Published on: September 14, 2017
Validation of Relative Motion Measurement Method of Lateral Compression Pelvic Fractures During Examination Under
Robert Jacobs1, Conor Kleweno, Stephen Wallace
1Harborview Medical Center, University of Washington, Seattle, WA.
Objectives:
To determine if the relative distance between the acetabular teardrops on unstressed and lateral compressive stress examination under anesthesia (EUA) pelvic fluoroscopic images is reproducible between independent reviewers.
Design:
Retrospective database review.
Setting:
Level 1 trauma center.
Patients/Intervention:
Fifty-eight patients with a lateral compression type 1 pelvic ring injury who underwent EUA.
Main Outcome Measure:
Validation of EUA objective measurements between blinded, independent reviewers using interclass and intraclass correlation coefficients.
Results:
There was excellent interobserver and intraobserver reliability between all reviewers. Values for each intraclass correlation coefficients (including 95% confidence intervals) were between 0.96 (0.95-0.098) and 0.99 (0.99-0.99) for all measurements. P values were <0.0001 for all measured parameters.
Conclusions:
The relative change in distance between the acetabular tear drops during lateral compressive EUA of lateral compression type 1 pelvic injuries is reliable between independent reviewers. This allows for accurate, objective measurement of pelvic motion independent of patient size or body habitus.
Level Of Evidence:
Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence.
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