在肩部临床检查期间,观察者间一致性分析用于评估侧面肘部内旋转,肩部临床检查
Chloé Roy1, Julien Berhouet2, Adrien Jacquot2
1Service de Chirurgie Orthopédique, Hôpital Trousseau, CHRU de Tours, Avenue de la République, Chambray-lès-Tours, Faculté de Médecine, Université de Tours, 37044 Tours Cedex 9, France.
Orthopaedics & traumatology, surgery & research : OTSR
|September 15, 2025
概括
通过脊椎水平评估肩膀内部旋转 (IR1) 是一种可重复的临床方法. 这项研究发现了强烈的观察者间共识,支持其在肩部检查中的使用.
科学领域:
- 整形外科手术 整形外科手术
- 肩部生物力学 肩部生物力学
- 临床评估方法临床评估方法
背景情况:
- 肘部与身体的内部旋转 (IR1) 对于肩部功能至关重要.
- 在肩关节整形手术后恢复IR1,特别是逆肩关节整形手术,具有挑战性.
- 对IR1的临床评估可能是可变的,影响患者的护理.
研究的目的:
- 分析使用脊椎水平方法评估IR1的观察者间协议.
- 评估IR1测量的常见临床技术的可靠性.
- 为了确定这种方法是否适合于例行肩部检查和评分系统,如恒定分数.
主要方法:
- 285张健康志愿者进行IR1的照片被四位肩部外科医生评估.
- 外科医生独立地将IR1分为六个脊椎水平 (从大腿到骨间区域).
- 使用弗莱斯卡帕和科恩卡帕统计分析了观察者间的一致性.
主要成果:
- 总体而言,观察者之间的一致性很强 (卡帕=0.7).
- 在一些评级者之间,双重协议达到了几乎完美的水平 (高达0.89).
- 对于极端范围 (大腿,骨间) 观察到很高的一致性,而对于中间水平则发现中等一致性.
结论:
- 评估IR1的脊椎水平方法表明观察者之间有很强的共识.
- 这种技术是临床肩部检查的可重复和可靠工具.
- 这些发现支持在临床实践和结果评分中继续使用这种方法.
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