骨科临床医生能学会解读骨骼骨龄吗？一项不同专业间及专业内观察者的研究。
Can orthopaedic clinicians learn to read skeletal bone age? An inter- and intra observer study between specialties.
作者信息
Rajan R A, Swindells M G, Metcalfe J E, Konstantoulakis C
出版信息
J Child Orthop. 2011 Feb;5(1):69-72. doi: 10.1007/s11832-010-0307-1. Epub 2010 Nov 24.
OBJECTIVE
Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in order to correct any discrepancy. To our knowledge, there has not been an interdisciplinary comparison of the degree of agreement in determining skeletal bone age.
MATERIALS AND METHODS
We evaluated 30 left hand/wrist radiographs (children aged 16 months to 10 years 6 months) on two separate occasions between musculoskeletal paediatric radiologists, paediatric orthopaedic surgeons and a senior radiographer after appropriate training.
RESULTS
All clinicians were able to reliably age patients with good intra- and interobserver agreement.
CONCLUSION
We suggest that following tuition, orthopaedic surgeons are able to reliably age patients from X-rays.
目的
确定骨骼年龄对于预测最终的腿长差异以及预测手术干预的准确时机以纠正任何差异至关重要。据我们所知，尚未有关于确定骨骼年龄的一致程度的跨学科比较。
材料与方法
我们在经过适当培训后，由小儿肌肉骨骼放射科医生、小儿骨科外科医生和一名资深放射技师在两个不同的时间点对30张左手/腕部X光片（年龄在16个月至10岁6个月的儿童）进行了评估。
结果
所有临床医生都能够可靠地对患者进行年龄判断，观察者内和观察者间的一致性良好。
结论
我们建议，经过培训后，骨科外科医生能够根据X光片可靠地对患者进行年龄判断。
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