Interobserver Variability in the Treatment of Little Finger Metacarpal Neck Fractures
Publication Date
2014
Journal Title
J Hand Surg Am
Abstract
Purpose To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. Methods Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma surgeons, were asked to review 20 little finger metacarpal neck fracture cases, which included a vignette and 3 high-quality radiographs. Members were then randomized to review radiographs with or without measured fracture angulation on the lateral view and select operative or nonoperative management. Results Surgeons shown radiographs with measured angulation were more likely to recommend surgery, and there was less variability among these surgeons, particularly for fractures with less angular deformity. Conclusions Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures. Copyright (C) 2014 by the American Society for Surgery of the Hand. All rights reserved.
Volume Number
39
Issue Number
9
Pages
1722-1727
Document Type
Article
Status
Northwell Researcher
Facility
Northwell Health
Primary Department
Orthopedic Surgery
PMID
DOI
10.1016/j.jhsa.2014.05.023