Journal article
Radiological findings for hip dysplasia at skeletal maturity. Validation of digital and manual measurement techniques
Skeletal radiology, Vol.41(7), pp.775-785
07/2012
DOI: 10.1007/s00256-011-1283-3
PMID: 21946945
Abstract
To report on intra-observer, inter-observer, and inter-method reliability and agreement for radiological measurements used in the diagnosis of hip dysplasia at skeletal maturity, as obtained by a manual and a digital measurement technique.Pelvic radiographs from 95 participants (56 females) in a follow-up hip study of 18- to 19-year-old patients were included. Eleven radiological measurements relevant for hip dysplasia (Sharp’s, Wiberg’s, and Ogata’s angles; acetabular roof angle of Tönnis; articulo-trochanteric distance; acetabular depth-width ratio; femoral head extrusion index; maximum teardrop width; and the joint space width in three different locations) were validated. Three observers measured the radiographs using both a digital measurement program and manually in AgfaWeb1000. Inter-method and inter- and intra-observer agreement were analyzed using the mean differences between the readings/readers, establishing the 95% limits of agreement. We also calculated the minimum detectable change and the intra-class correlation coefficient.Large variations among different radiological measurements were demonstrated. However, the variation was not related to the use of either the manual or digital measurement technique. For measurements with greater absolute values (Sharp’s angle, femoral head extrusion index, and acetabular depth-width ratio) the inter- and intra-observer and inter-method agreements were better as compared to measurements with lower absolute values (acetabular roof angle, teardrop and joint space width).The inter- and intra-observer variation differs notably across different radiological measurements relevant for hip dysplasia at skeletal maturity, a fact that should be taken into account in clinical practice. The agreement between the manual and digital methods is good.
Details
- Title: Subtitle
- Radiological findings for hip dysplasia at skeletal maturity. Validation of digital and manual measurement techniques
- Creators
- Ingvild Engesæter - The Norwegian Arthroplasty Register, Department of Orthopaedic Surgery Haukeland University Hospital Møllendalsbakken 11 5021 Bergen NorwayLene Laborie - Department of Radiology Haukeland University Hospital Bergen NorwayTrude Lehmann - Department of Orthopaedic Surgery Haukeland University Hospital Bergen NorwayFrancesco Sera - Medical Research Council Centre of Epidemiology for Child Health University College London Institute of Child Health London UKJonas Fevang - Department of Orthopaedic Surgery Haukeland University Hospital Bergen NorwayDouglas Pedersen - Department of Orthopaedics and Rehabilitation University of Iowa Hospital & Clinics Iowa City IA USAJosé Morcuende - Department of Orthopaedics and Rehabilitation University of Iowa Hospital & Clinics Iowa City IA USAStein Lie - Uni Health, Uni Research Bergen NorwayLars Engesæter - Department of Orthopaedic Surgery Haukeland University Hospital Bergen NorwayKaren Rosendahl - Department of Radiology Haukeland University Hospital Bergen Norway
- Resource Type
- Journal article
- Publication Details
- Skeletal radiology, Vol.41(7), pp.775-785
- Publisher
- Springer-Verlag; Berlin/Heidelberg
- DOI
- 10.1007/s00256-011-1283-3
- PMID
- 21946945
- ISSN
- 0364-2348
- eISSN
- 1432-2161
- Language
- English
- Date published
- 07/2012
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984040594002771
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