全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

肱骨近端骨折Neer分型系统临床应用分析

, PP. 211-214

Keywords: 肱骨近端,骨折,NEER分型,差异性

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的分析不同医师应用Neer分型系统的临床差异性。方法收集2006年2月至2012年5月我院收住175例骨近端骨折患者资料,医师分两组阅片行Neer分型测试,一组为曾受肩关节损伤培训组(专业组),另一组为普通创伤科医师组(普通组),测试分两部分共4次,第一部分在普通X线片下进行,第二部分阅片附加提供CT片,统计学分析用Kappa检验分析组间可信度及组内可重复性,采用t检验比较两组医师分型的差异性。结果4次测试的最高Kappa值均出自专业组,专业组的组间可信度Kappa值与普通组比较差异有统计学意义(t=3.316,P=0.006)。前后4次测试显示出良好的组内可重复性,Kappa值专业组与普通组比较差异有统计学意义(t=2.859,P=0.008)。结论规范的肩关节专业化培训及CT影像学辅助可提高NEER分型的准确性。

References

[1]  Neer CS.Four-segment classification of proximal humeral fractnres:purpose and reliable use[J].J Shoulder Elbow Surg,2002.1l: 389-400.
[2]  Goud A,Segal D,Hedayati P,et a1.Radiographic evaluation of the shoulder[J].Eur J Radi01,2008,68:2-15.
[3]  Tamai K,Ishige N,Kumda S,et a1.Four-segment classification of proximal humeral fractures revisited:a multicenter study on 509 cases[J].J Shoulder Elbow Surg,2009.18:845-850.
[4]  Green A,lzzi J Jr.Isolated fractures of the greater tubemsity of the proximal humerus[J].J Shoulder Elbow Surg,2003,12:641-649.
[5]  Gerber C,Werner CM,Vienne P.Internal fixation of complex fractures of the proximal humerus[J].J Bone Joint Surg(Br),2004,86:848-855.
[6]  D.Mahadeva. Reliability of the Neer classification system in proximal humeral fractures:a sustematic review of the literature[J].European Journal of Orthopaedic Surgery and Traumatology,2008,18(6):415-424.
[7]  A. Naraen. A preliminary clinical experience with polarus nail for proximal humeral fractures.A.pilot study on ten patients[J].European Joumal of Othopaedic Surgery and Traumatology,2001,11(3):191-193.
[8]  [8 ] Edelson G,Kelly I,Vigder F,et al.A three dimensional classifieation for fractures of the proximal humerus[J].J Bone Joint Surg(Br),2004,86:413-425.
[9]  Christian Bahrs. Clinical and radiological evaluation of minimally displaced proximal humeral fractures [J].Archives of Orthopaedic and Trauma Surgery,2010,130(5):673-679.
[10]  DeFranco MJ,Brems JJ,Williams GR Jr,et a1.Evaluation and management of valgus impacted four-part proximal humerus fractures[J]. Clin Orthop Relat Res,2006(442):109-114.
[11]  Neer CS.Displaced proximal humeral fractures Classification and evaluation[J].J Bone Joint Surg(Am),1970. 52:1077-1089.
[12]  姜春岩,张蔷.Neer分型的可靠性研究[J].中华创伤骨科杂志,2012(14):556-558.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133