Inter-observer and intra-observer reliability of rockwood classification among orthopedic residents Rockwood siniflamasinin ortopedı asıstanlarinda gözlemcıler arasi ve gözlemcı ıçı güvenılırlığı

BİLGİN E., Turgut A., Kumbaracı M., İLYAS G., Kalenderer Ö.

Journal of Clinical and Analytical Medicine, cilt.8, sa.4, ss.315-319, 2017 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 8 Sayı: 4
  • Basım Tarihi: 2017
  • Doi Numarası: 10.4328/jcam.4876
  • Dergi Adı: Journal of Clinical and Analytical Medicine
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.315-319
  • Anahtar Kelimeler: Rockwood Classification, Resident, Inter-Observer, Intra-Observer
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Aim: The purpose of this study was to evaluate intra and inter-observer reliability of the Rockwood classification system, which is used to assess acromioclavicular (AC) joint injuries, in terms of orthopedics residents’ evaluation. Material and Method: A Microsoft® Power Point (PPT) presentation with 37 slides including shoulder anterior-posterior radiographs displaying acromioclavicular joint injuries was prepared. A total of 15 orthopedic residents were asked to classify the injuries according to the Rockwood classification system. The order of the slides was changed and the assessment was again carried out three months later by the same reviewers. In order to assess intra- and inter-observer agreement levels, intra-class correlation coefficient (ICC) values were calculated. Results: When considering the results of all the participants, the kappa value for intra-observer and kappa value for inter-observer reliability were found to be 0.732 (0.476-1) and 0.690 (0.654-0.739), respectively. Analysis indicated that residents had difficulty in differentiating type 2-3 and type 3-5 injuries. Discussion: Although our studies’ finding was that there was an acceptable intra- and inter-observer reliability for Rockwood classification among orthopedics residents, it was evident that differentiating type 2 and type 3 injuries and differentiating type 3 and 5 injuries was difficult.