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Full-Text Articles in Orthopedics
A Novel Method In The Classification Of Proximal Fifth Metatarsal Fractures, Kathryn Yeager, Benjamin Packard, Richard A. Miller, Shravin Sridhar
A Novel Method In The Classification Of Proximal Fifth Metatarsal Fractures, Kathryn Yeager, Benjamin Packard, Richard A. Miller, Shravin Sridhar
Western Journal of Orthopaedics
Background: Proximal fifth metatarsal fractures are common. The authors previously performed a study examining the inter- and intraobserver reliability of the Lawrence and Botte Classification, which showed poor interobserver reliability of 16.67%. A novel approach was proposed for the classification of fifth metatarsal fractures using a mortise ankle radiographic view. Methods: The observers from the authors’ prior study reviewed non-weight bearing mortise views of 20 patients with isolated fifth metatarsal base fractures. These radiographs were identified from the 60 radiographs from the authors’ prior study. Five physicians evaluated the radiographs and classified the fractures as type 1, 2, or 3. …
Inter- And Intra-Observer Differences In Proximal Fifth Metatarsal Fractures, Benjamin Packard, Kathryn Yeagar, Richard A. Miller, Katherine Gavin
Inter- And Intra-Observer Differences In Proximal Fifth Metatarsal Fractures, Benjamin Packard, Kathryn Yeagar, Richard A. Miller, Katherine Gavin
Western Journal of Orthopaedics
Introduction: Proximal fifth metatarsal fractures are common. When using the Lawrence and Botte Classification for these injuries, they are classified as type 1, 2, and 3. Identifying the zone of injury is crucial to guide treatment. The authors hypothesize that interand intra-observer reliability of these fractures is low. Methods: Anteroposterior (AP), lateral, and oblique x-rays of 60 patients with isolated fifth metatarsal base fractures were reviewed. Five physicians evaluated the radiographs and classified the fractures as type 1,2, or 3. Each of the three radiographic views were examined separately. Results were then analyzed for inter- and intra-observer reliability. Results: Sixty …