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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:  and    
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.

Table 1

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

[i] a Mean ± SD;

AIa = Anterior Impingement angle; EBI = elbow bony impingement; SNC = sigmoid notch coverage; PIa = Posterior Impingement angle; fROM = flexion-extension range of motion

Table 2

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)

[i] a ICC value (95% CI);

AIa = Anterior Impingement angle; CI = confidence interval; EBI = elbow bony impingement; ICC = intraclass correlation coefficients; PIa = Posterior Impingement angle

Table 3

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)

[i] a ICC value (95% CI);

AIa = Anterior Impingement angle; CI = confidence interval; EBI = elbow bony impingement; ICC = intraclass correlation coefficients; PIa = Posterior Impingement angle

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).

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
Accepted on: Nov 10, 2021
Published on: Feb 11, 2022
Published by: Association of Radiology and Oncology
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.