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不同检查方法对掌长肌存在情况及第五指浅屈肌功能检查的观察者间和观察者内可靠性。

Interobserver and intraobserver reliability of different methods of examination for presence of palmaris longus and examination of fifth superficial flexor function.

作者信息

Sadeghifar Amirreza, Kahani Ali Krbalei, Saied Alireza, Rasayi Elham

机构信息

Deparment of Orthopedics, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Department of Plastic and Hand Surgery, Imam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran.

出版信息

Anat Cell Biol. 2018 Jun;51(2):79-84. doi: 10.5115/acb.2018.51.2.79. Epub 2018 Jun 27.

DOI:10.5115/acb.2018.51.2.79
PMID:29984051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6026822/
Abstract

The palmaris longus is harvested as a tendon graft in various surgical procedures. Several tests are used to assess the presence of palmaris longus tendon. In the present study, we attempted to assess the interobserver and intraobserver reliability of five of the most famous methods and also the examination of fifth superficial flexor function. Two observers, who had been trained on the tests and had practiced them, examined 105 volunteers on two separate occasions and in 1-month interval the results were recorded. The reliability of each method was assessed with Kappa measurement. Kappa ranged from 0.541 (moderate reliability) to 0.813 (almost complete agreement) for palmaris. The highest interobserver and intraobserver reliability and also the best agreement with other tests were of Schaeffer. The lowest kappa was for Thompson and the others have good to excellent reliability. Kappa for interobserver and intraobserver reliability for the fifth flexor were 0.415 and 0.500 (moderate reliability), respectively. The tests that were assessed have good reliability except for Thompson that has a moderate one. It seems that the standard test (Schaeffer) is the best method for the assessment of the absence or presence of palmaris longus. The method used for the evaluation of fifth superficial flexor variations assessment has a moderate interobserver and intraobserver reliability.

摘要

掌长肌在各种外科手术中作为肌腱移植物被采集。有几种测试用于评估掌长肌腱的存在情况。在本研究中，我们试图评估五种最著名方法的观察者间和观察者内可靠性，以及对第五指浅屈肌功能的检查。两名接受过测试培训并进行过实践的观察者，在两个不同时间对105名志愿者进行了检查，间隔1个月记录结果。每种方法的可靠性用卡帕测量法进行评估。掌长肌的卡帕值范围从0.541（中度可靠性）到0.813（几乎完全一致）。观察者间和观察者内可靠性最高且与其他测试一致性最好的是谢弗法。汤普森法的卡帕值最低，其他方法具有良好到优秀的可靠性。第五指屈肌观察者间和观察者内可靠性的卡帕值分别为0.415和0.500（中度可靠性）。除汤普森法可靠性为中度外，所评估的测试都具有良好的可靠性。似乎标准测试（谢弗法）是评估掌长肌有无的最佳方法。用于评估第五指浅屈肌变异的方法，观察者间和观察者内可靠性为中度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/96f01e152bae/acb-51-79-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/1e013833d6da/acb-51-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/cd66ed6b05d7/acb-51-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/6a17839713b1/acb-51-79-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/5ba83f6becb0/acb-51-79-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/5e4bebc5be4f/acb-51-79-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/96f01e152bae/acb-51-79-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/1e013833d6da/acb-51-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/cd66ed6b05d7/acb-51-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/6a17839713b1/acb-51-79-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/5ba83f6becb0/acb-51-79-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/5e4bebc5be4f/acb-51-79-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e83b/6026822/96f01e152bae/acb-51-79-g006.jpg

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