对J标志的定性视觉评估表明,评级者之间的可靠性很高
Nicholas Walla1, Toren Moore1, Sarah Harangody1
1Sports Medicine Research Institute, The Ohio State University, Columbus, OH, 43202, USA.
概括
大J标志与小J标志或没有J标志的两级分类为评估骨不稳定性提供了最高的可靠性. 一个大的J标志与三角膜发育不良和一般性带松有关.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 放射学 放射学是一门学科.
背景情况:
- "J"标志是骨不稳定的临床指标.
- 准确的J标志分类对于治疗规划至关重要.
- 现有的分类系统可能具有可变的可靠性.
研究的目的:
- 为了评估不同J标志分类系统的间和内等级可靠性.
- 为了比较一个双层 (大与小/没有) 系统与其他系统.
- 为了确定与大J标志相关的因素.
主要方法:
- 针对40名患有反复复发的骨不稳定性的患者进行了前性研究.
- 四位评级人员使用三个系统对J标志的存在和严重程度进行了分类.
- 卡帕统计评估了可靠性;分析了解剖学和患者因素.
主要成果:
- 两级系统 (大J标志与小/没有J标志) 显示了最高的可靠性 (分级卡帕=0.76,分级卡帕=0.75).
- 一个大的J标志与更严重的三角膜发育不良相关 (角,p=0.042).
- 具有较大的J标志的患者患有较高的侧侧视网膜紧张的发病率 (p=0.032) 和升高的Beighton得分 (p=0.009).
结论:
- J标志的两组分类 (大与小/无) 提供了相当大的可靠性.
- 一个大的J标志与三角膜发育不良,紧张的侧视网膜和普遍的带松有关.
- 这些发现有助于理解骨不稳定的生物力学.
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