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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56925
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dc.creatorPedro José Labronicipt_BR
dc.creatorLeonardo Termis Ferreirapt_BR
dc.creatorFernando Claudino Dos Santos Filhopt_BR
dc.creatorRobinson Esteves Santos Pirespt_BR
dc.creatorDavi Coutinho Fonseca Fernandes Gomespt_BR
dc.creatorLuiz Henrique Penteado da Silvapt_BR
dc.creatorVinicius Schott Gameiropt_BR
dc.date.accessioned2023-07-24T21:49:45Z-
dc.date.available2023-07-24T21:49:45Z-
dc.date.issued2017-
dc.citation.volume48pt_BR
dc.citation.issue1pt_BR
dc.citation.spage552pt_BR
dc.citation.epage556pt_BR
dc.identifier.doihttps://doi.org/10.1016/j.injury.2016.12.007pt_BR
dc.identifier.issn00201383pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/56925-
dc.description.resumoBackground: 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.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTORpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofInjury-
dc.rightsAcesso Restritopt_BR
dc.subjectDistal forearm fracturept_BR
dc.subjectCasting indicespt_BR
dc.subjectPrognosispt_BR
dc.subjectPediatricspt_BR
dc.subject.otherFraturas do Punhopt_BR
dc.subject.otherPrognosept_BR
dc.subject.otherPediatriapt_BR
dc.titleObjective assessment of plaster cast quality in pediatric distal forearm fractures: is there an optimal index?pt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.sciencedirect.com/science/article/pii/S0020138316307847?via%3Dihubpt_BR
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