Rick Tosti1, Asif M Ilyas2, Jos J Mellema2, Thierry G Guitton2, David Ring2. 1. Department of Orthopaedic Surgery and Sports Medicine, Temple University School of Medicine; the Rothman Institute, Thomas Jefferson University, Philadelphia, PA; Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA. Electronic address: rtosti@temple.edu. 2. Department of Orthopaedic Surgery and Sports Medicine, Temple University School of Medicine; the Rothman Institute, Thomas Jefferson University, Philadelphia, PA; Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA.
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. TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic III.
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. TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic III.
Authors: Jos J Mellema; Wouter H Mallee; Thierry G Guitton; C Niek van Dijk; David Ring; Job N Doornberg Journal: J Digit Imaging Date: 2017-10 Impact factor: 4.056
Authors: Femke M A P Claessen; Diederik T Meijer; Michel P J van den Bekerom; Barend D J Gevers Deynoot; Wouter H Mallee; Job N Doornberg; C Niek van Dijk Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-11-26 Impact factor: 4.342