Objective assessment of plaster cast quality in pediatric distal forearm fractures: is there an optimal index?

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dc.creatorPedro José Labronici
dc.creatorLeonardo Termis Ferreira
dc.creatorFernando Claudino Dos Santos Filho
dc.creatorRobinson Esteves Santos Pires
dc.creatorDavi Coutinho Fonseca Fernandes Gomes
dc.creatorLuiz Henrique Penteado da Silva
dc.creatorVinicius Schott Gameiro
dc.date.accessioned2023-07-24T21:49:45Z
dc.date.accessioned2025-09-08T23:53:29Z
dc.date.available2023-07-24T21:49:45Z
dc.date.issued2017
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.injury.2016.12.007
dc.identifier.issn00201383
dc.identifier.urihttps://hdl.handle.net/1843/56925
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInjury
dc.rightsAcesso Restrito
dc.subjectFraturas do Punho
dc.subjectPrognose
dc.subjectPediatria
dc.subject.otherDistal forearm fracture
dc.subject.otherCasting indices
dc.subject.otherPrognosis
dc.subject.otherPediatrics
dc.titleObjective assessment of plaster cast quality in pediatric distal forearm fractures: is there an optimal index?
dc.typeArtigo de periódico
local.citation.epage556
local.citation.issue1
local.citation.spage552
local.citation.volume48
local.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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0020138316307847?via%3Dihub

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