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http://hdl.handle.net/1843/56925| Type: | Artigo de Periódico |
| Title: | Objective assessment of plaster cast quality in pediatric distal forearm fractures: is there an optimal index? |
| Authors: | Pedro José Labronici Leonardo Termis Ferreira Fernando Claudino Dos Santos Filho Robinson Esteves Santos Pires Davi Coutinho Fonseca Fernandes Gomes Luiz Henrique Penteado da Silva Vinicius Schott Gameiro |
| Abstract: | Background: Several so-called casting indices are available for objective evaluation of plaster cast quality.The present study sought to investigate four of these indices (gap index, padding index, Canterbury index,and three-point index) as compared to a reference standard (cast index) for evaluation of plaster cast quality after closed reduction of pediatric displaced distal forearm fractures. Methods: Forty-three radiographs from patients with displaced distal forearm fractures requiring manipulation were reviewed. Accuracy, sensitivity, specificity, false-positive probability, false-negative probability, positive predictive value, negative predictive value, positive likelihood ratio, and negative likelihood ratio were calculated for each of the tested indices. Results: Comparison among indices revealed diagnostic agreement in only 4.7% of cases. The strongest correlation with the cast index was found for the gap index, with a Spearman correlation coefficient of 0.94. The gap index also displayed the best agreement with the cast index, with both indices yielding the same result in 79.1% of assessments. Conclusion: When seeking to assess plaster cast quality, the cast index and gap index should be calculated; if both indices agree, a decision on quality can be made. If the cast and gap indices disagree,the padding index can be calculated as a tiebreaker, and the decision based on the most frequent of the three results. Calculation of the three-point index and Canterbury index appears unnecessary. |
| Subject: | Fraturas do Punho Prognose Pediatria |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE APARELHO LOCOMOTOR |
| Rights: | Acesso Restrito |
| metadata.dc.identifier.doi: | https://doi.org/10.1016/j.injury.2016.12.007 |
| URI: | http://hdl.handle.net/1843/56925 |
| Issue Date: | 2017 |
| metadata.dc.url.externa: | https://www.sciencedirect.com/science/article/pii/S0020138316307847?via%3Dihub |
| metadata.dc.relation.ispartof: | Injury |
| Appears in Collections: | Artigo de Periódico |
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