Subscribe to RSS

DOI: 10.1055/s-0039-3400518
Interobserver Analysis of Albertoni Classification for Mallet Finger, Using Plain Radiography: Importance of the Goniometer[*]
Article in several languages: português | EnglishPublication History
27 December 2019
08 January 2019
Publication Date:
28 January 2020 (online)

Abstract
Objectives The objective of the present study is to evaluate the intraobserver and interobserver reliability of the Albertoni classification for mallet finger. Evaluation of goniometer device application is also an objective.
Methods A total of 10 lateral radiographs of patients with mallet finger were selected and measured by 60 orthopedic surgeons with and without the use of goniometer.
Results The intra- and interobserver reliability coefficients found were high. With the use of a goniometer, the interobserver reliability coefficient was even higher, but without statistical relevance.
Conclusion The Albertoni classification showed high intraobserver and interobserver reliability in assessing mallet finger lesions, and the goniometer is dispensable for this purpose.
Keywords
acquired hand deformities/classification - finger injuries - reproducibility of results - rupture - tendon injuries* Study conducted at Hospital Vera Cruz, Belo Horizonte, MG, Brazil.
-
Referências
- 1 Mélega JM. Cirurgia plástica fundamentos e arte: cirurgia reparadora de troncos e membros. Rio de Janeiro: Guanabara-Koogan; 2004
- 2 Braga Silva J. Cirurgia da mão – Trauma. Rio de Janeiro: Revinter; 2003
- 3 Young RE, Harmon JM. Repair of tendon injuries of the hand. Ann Surg 1960; 151: 562-566
- 4 Duran RJ, Houser RG. Controlled passive motion following flexor tendon repair in zone 2 and 3. In: AAOS Symposium on tendon surgery in the hand. St. Louis: CV Mosby; 1975 . p. 105-14.
- 5 Lister GD, Kleinert HE, Kutz JE, Atasoy E. Primary flexor tendon repair followed by immediate controlled mobilization. J Hand Surg Am 1977; 2 (06) 441-451
- 6 May EJ, Silfverskiöld KL, Sollerman CJ. Controlled mobilization after flexor tendon repair in zone II: a prospective comparison of three methods. J Hand Surg Am 1992; 17 (05) 942-952
- 7 Albertoni WM, Leite VW. Lesões dos tendões extensores. In: Pardini Júnior AG. Traumatismo da mão. 3ª. ed. Rio de Janeiro: Medsi; 2000: 351-380
- 8 Fleiss J. The measurement of interrater agreement, statistical interrater agreement statistical. New York: John Wiley & Sons; 1981
- 9 Braga Silva J, Martins PDE, Román J, Gehlen D. Mobilização pós-operatória com flexão ativa precoce após reparo de tendões flexores na zona. Rev Soc Bras Cir Plást. 2005; 20 (04) 207-212
- 10 Braga Silva J, Calcagnotto G, Oliveira CG, Fisher H. Estudo prospectivo randomizado da mobilização ativa precoce após reparo dos tendões flexores em zona 2. Rev Bras Ortop 2003; 38 (10) 581-588
- 11 Evans GR. Cirurgia plástica – estética e reconstrutora. Rio de Janeiro: Revinter; 2003
- 12 Braga Silva J, Fernandes H, Fridman M. Lesão do tendão extensor em zona 1: tratamento ortopédico e cirúrgico. Rev Bras Ortop 1999; 34 (02) 139-144
- 13 Braga Silva J, Gazzalez A, Alvarez G. Lesão tendinosa da mão. Rev da AMRIGS, Porto Alegre. 2011; 55 (02) 197-201
- 14 Barros Filho TE, Lech O. Exame físico em ortopedia. São Paulo: Sarvier; 2002
- 15 Browner B, Jupiter J, Levine A, Trafton P, Krettek C. Skeletal trauma. 4th ed. Philadelphia: Saunders; 2008
- 16 Canale ST, Beaty JH. Campbell's operative orthopaedics. 12th ed. St. Louis: Mosby; 2012
- 17 Hebert S, Barros Filho TE, Xavier R, Pardini Júnior AG. Ortopedia e traumatologia: princípios e prática. 5ª. ed. Porto Alegre: Artmed; 2016
- 18 Morrissy RT, Weinstein SL. Lovell and Winter's pediatric orthopaedics. 4th ed. Philadelphia: Lippincott; 2005
- 19 Pardini Júnior AG, Freitas AD. Traumatismos da mão. 4ª. ed. Rio de Janeiro: Medbook; 2008
- 20 Agresti A, Kateri M. Categorical data analysis. Berlin: Springer-Verlag; 2011
- 21 Braga-Silva J, Kuyven CR. Early active mobilization after flexor tendon repairs in zone two. Chir Main 2005; 24 (3-4): 165-168
- 22 Hollander M, Wolfe DA, Chicken E. Nonparametric statistical methods. New York: John Wiley & Sons; 2013