Department of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
Syst Rev. 2017 Nov 3;6(1):223. doi: 10.1186/s13643-017-0614-4.
The objective of this systematic review was to evaluate the reliability and reproducibility of measurements of shortening in midshaft clavicle fractures (MSCF) using any available imaging technique.
Electronic databases (PubMed, EMBASE, and Cochrane) were searched. The 4-point-scale COSMIN checklist was used to evaluate the methodological quality of studies.
Four studies on reliability of measurement of MSCF were identified. These studies were of fair and poor quality. The reported intrarater reliability varied between none to fair, and intrarater reliability was minimal.
No definite conclusions could be drawn. In order to optimize future studies and the realization of comparable results, more research is necessary to identify a standardized method of imaging and measuring. Level of Evidence III.
本系统评价的目的是评估使用任何现有影像学技术测量锁骨中段骨折（MSCF）缩短的可靠性和可重复性。
检索电子数据库（PubMed、EMBASE 和 Cochrane）。使用 COSMIN 4 分制清单评估研究的方法学质量。
确定了四项关于 MSCF 测量可靠性的研究。这些研究的质量为一般和较差。报告的组内可靠性在无到一般之间，组内可靠性最小。
无法得出明确的结论。为了优化未来的研究并实现可比较的结果，需要进行更多的研究以确定标准化的成像和测量方法。证据水平 III。
