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Reliability of new radiographic measurement techniques for elbow bony impingement Cover

Reliability of new radiographic measurement techniques for elbow bony impingement

By: Uros Meglic and  Oskar Zupanc  
Open Access
|Feb 2022

Figures & Tables

Figure 1

Radiographic measurements: (A) Anterior Impingement angle (AIa) and Posterior Impingement angle (PIa) in normal group, (B) AIa and Pia in EBI group, (C) sigmoid notch coverage angle (SNC) in normal group.
Radiographic measurements: (A) Anterior Impingement angle (AIa) and Posterior Impingement angle (PIa) in normal group, (B) AIa and Pia in EBI group, (C) sigmoid notch coverage angle (SNC) in normal group.

Figure 2

Manual flexion-extension range of motion (fROM) and radiographic measurement correlations between (A) f lexion and Anterior Impingement angle AIa, (B) extension deficit and Posterior Impingement angle (Pia).
Manual flexion-extension range of motion (fROM) and radiographic measurement correlations between (A) f lexion and Anterior Impingement angle AIa, (B) extension deficit and Posterior Impingement angle (Pia).

Inter-rate r and intra-rater reliabilitiesa

Inter-rater reliabilityaIntra-rater reliability for rater 1aIntra-rater reliability for rater 2aIntra-rater reliability for rater 3a
EBI groupAIa0.85 (0.75–0.94)0.87 (0.75–0.94)0.87 (0.74–0.94)0.87 (0.75–0.95)
PIa0.84 (0.69–0.92)0.83 (0.66–0.91)0.88 (0.76–0.94)0.85 (0.75–0.93)
NORMALAIa0.87 (0.76–0.94)0.90 (0.81–0.95)0.87 (0.74–0.94)0.87 (0.75–0.95)
groupPIa0.85 (0.75–0.93)0.86 (0.73–0.93)0.86 (0.73–0.93)0.86 (0.74–0.94)

Manual and radiographic measurements

EBI groupaNORMAL groupap
Flexion (º)115 ± 8139 ± 5< 0.05
Extension deficit (º)19 ± 120 ± 0< 0.05
fROM (º)96 ± 14139 ± 5< 0.05
SNC (º)217 ± 10170 ± 6< 0.05
AIa (º)44 ± 520 ± 4< 0.05
Pia (º)173 ± 10150 ± 5< 0.05

Inter-rater reliability between two upper-hand expert surgeons and one resident

Surgeon 1 vs. surgeon 2aSurgeon 1 vs. residentaSurgeon 2 vs. residenta
EBI groupAIa0.85 (0.71–0.93)0.85 (0.74–0.94)0.86 (078–0.95)
PIa0.84 (0.69–0.92)0.89 (0.79–0.95)0.87 (0.74–0.94)
NORMALAIa0.87 (0.74–0.94)0.90 (0.80–0.95)0.88 (0.77–0.94)
groupPIa0.85 (0.71–0.93)0.89 (0.77–0.94)0.87 (0.760–0.94)
DOI: https://doi.org/10.2478/raon-2021-0056 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 32 - 36
Submitted on: Oct 19, 2021
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Accepted on: Nov 10, 2021
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Published on: Feb 11, 2022
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Uros Meglic, Oskar Zupanc, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.