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本文引用的文献

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Dislocation of the inferior radio-ulnar joint.
Br J Surg. 1946 Jul;34:74-7. doi: 10.1002/bjs.18003413312.
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The incidence of associated fractures of the upper limb in fractures of the radial head.桡骨头骨折合并上肢其他骨折的发生率。
Strategies Trauma Limb Reconstr. 2008 Sep;3(2):71-4. doi: 10.1007/s11751-008-0038-8. Epub 2008 Jul 10.
3
Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification, database and outcomes committee.《骨折与脱位分类概要 - 2007》：骨科创伤协会分类、数据库与结果委员会
J Orthop Trauma. 2007 Nov-Dec;21(10 Suppl):S1-133. doi: 10.1097/00005131-200711101-00001.
4
Documentation of associated injuries occurring with radial head fracture.桡骨头骨折伴发损伤的记录。
Clin Orthop Relat Res. 2008 Jan;466(1):130-4. doi: 10.1007/s11999-007-0064-8. Epub 2008 Jan 3.
5
Associated injuries complicating radial head fractures: a demographic study.桡骨头骨折并发的相关损伤：一项人口统计学研究。
Clin Orthop Relat Res. 2005 Dec;441:351-5. doi: 10.1097/01.blo.0000180606.30981.78.
6
A follow-up of one hundred cases of fracture of the head of the radius with a review of the literature.一百例桡骨头骨折的随访及文献复习。
Ulster Med J. 1962 Jun 1;31(1):51-6.
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THE EFFECT UPON THE INFERIOR RADIO-ULNAR JOINT OF EXCISION OF THE HEAD OF THE RADIUS IN ADULTS.
J Bone Joint Surg Br. 1964 Feb;46:83-8.
8
Subluxation of the inferior radio-ulnar joint complicating fracture of the radial head.桡骨头骨折并发下尺桡关节半脱位
J Bone Joint Surg Br. 1957 May;39-B(2):278-87. doi: 10.1302/0301-620X.39B2.278.
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Some observations on fractures of the head of the radius with a review of one hundred cases.桡骨头骨折的一些观察及一百例病例回顾。
Br J Surg. 1954 Sep;42(172):123-32. doi: 10.1002/bjs.18004217203.
10
Poor interobserver reliability of AO classification of fractures of the distal radius. Additional computed tomography is of minor value.桡骨远端骨折AO分类的观察者间可靠性较差。额外的计算机断层扫描价值不大。
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桡骨近端骨折的分类是否具有可重复性？

Are classifications of proximal radius fractures reproducible?

机构信息

Department of Orthopedics and Traumatology, Universidade Federal de São Paulo -- Escola Paulista de Medicina (Unifesp-EPM), São Paulo, Brazil.

出版信息

BMC Musculoskelet Disord. 2009 Oct 1;10:120. doi: 10.1186/1471-2474-10-120.

DOI:10.1186/1471-2474-10-120
PMID:19793401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2761854/
Abstract

BACKGROUND

Fractures of the proximal radius need to be classified in an appropriate and reproducible manner. The aim of this study was to assess the reliability of the three most widely used classification systems.

METHODS

Elbow radiographs images of patients with proximal radius fractures were classified according to Mason, Morrey, and Arbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF) classifications by four observers with different experience with this subject to assess their intra- and inter-observer agreement. Each observer analyzed the images on three different occasions on a computer with numerical sequence randomly altered.

RESULTS

We found that intra-observer agreement of Mason and Morrey classifications were satisfactory (kappa = 0.582 and 0.554, respectively), while the AO/ASIF classification had poor intra-observer agreement (kappa = 0.483). Inter-observer agreement was higher in the Mason (kappa = 0.429-0.560) and Morrey (kappa = 0.319-0.487) classifications than in the AO/ASIF classification (kappa = 0.250-0.478), which showed poor reliability.

CONCLUSION

Inter- and intra-observer agreement of the Mason and Morey classifications showed overall satisfactory reliability when compared to the AO/ASIF system. The Mason classification is the most reliable system.

摘要

背景

桡骨近端骨折需要以适当且可重复的方式进行分类。本研究旨在评估三种最广泛使用的分类系统的可靠性。

方法

由四位具有不同专业背景的观察者按照 Mason、Morrey 和 Arbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation（AO/ASIF）分类系统对桡骨近端骨折的肘部 X 光片进行分类，以评估他们的组内和组间一致性。每位观察者在计算机上三次不同的场合对图像进行分析，随机改变数字序列。

结果

我们发现 Mason 和 Morrey 分类的组内一致性令人满意（kappa 值分别为 0.582 和 0.554），而 AO/ASIF 分类的组内一致性较差（kappa 值为 0.483）。在 Mason（kappa 值为 0.429-0.560）和 Morrey（kappa 值为 0.319-0.487）分类中，观察者间的一致性高于 AO/ASIF 分类（kappa 值为 0.250-0.478），后者显示出较差的可靠性。

结论

与 AO/ASIF 系统相比，Mason 和 Morey 分类的组内和组间一致性显示出总体上令人满意的可靠性。Mason 分类是最可靠的系统。