Can orthopaedic clinicians learn to read skeletal bone age? An inter- and intra observer study between specialties
Objective Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in order to correct any discrepancy. To our knowledge, there has not been an interdisciplinary comparison of the degree of agreement in d...
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| Published in | Journal of children's orthopaedics Vol. 5; no. 1; pp. 69 - 72 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
London, England
SAGE Publications
01.02.2011
Springer Berlin Heidelberg Sage Publications Ltd |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Objective
Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in order to correct any discrepancy. To our knowledge, there has not been an interdisciplinary comparison of the degree of agreement in determining skeletal bone age.
Materials and methods
We evaluated 30 left hand/wrist radiographs (children aged 16 months to 10 years 6 months) on two separate occasions between musculoskeletal paediatric radiologists, paediatric orthopaedic surgeons and a senior radiographer after appropriate training.
Results
All clinicians were able to reliably age patients with good intra- and interobserver agreement.
Conclusion
We suggest that following tuition, orthopaedic surgeons are able to reliably age patients from X-rays. |
|---|---|
| AbstractList | OBJECTIVEDetermination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in order to correct any discrepancy. To our knowledge, there has not been an interdisciplinary comparison of the degree of agreement in determining skeletal bone age. MATERIALS AND METHODSWe evaluated 30 left hand/wrist radiographs (children aged 16 months to 10 years 6 months) on two separate occasions between musculoskeletal paediatric radiologists, paediatric orthopaedic surgeons and a senior radiographer after appropriate training. RESULTSAll clinicians were able to reliably age patients with good intra- and interobserver agreement. CONCLUSIONWe suggest that following tuition, orthopaedic surgeons are able to reliably age patients from X-rays. Objective Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in order to correct any discrepancy. To our knowledge, there has not been an interdisciplinary comparison of the degree of agreement in determining skeletal bone age. Materials and methods We evaluated 30 left hand/wrist radiographs (children aged 16 months to 10 years 6 months) on two separate occasions between musculoskeletal paediatric radiologists, paediatric orthopaedic surgeons and a senior radiographer after appropriate training. Results All clinicians were able to reliably age patients with good intra- and interobserver agreement. Conclusion We suggest that following tuition, orthopaedic surgeons are able to reliably age patients from X-rays. Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in order to correct any discrepancy. To our knowledge, there has not been an interdisciplinary comparison of the degree of agreement in determining skeletal bone age. We evaluated 30 left hand/wrist radiographs (children aged 16 months to 10 years 6 months) on two separate occasions between musculoskeletal paediatric radiologists, paediatric orthopaedic surgeons and a senior radiographer after appropriate training. All clinicians were able to reliably age patients with good intra- and interobserver agreement. We suggest that following tuition, orthopaedic surgeons are able to reliably age patients from X-rays. Objective Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in order to correct any discrepancy. To our knowledge, there has not been an interdisciplinary comparison of the degree of agreement in determining skeletal bone age. Materials and methods We evaluated 30 left hand/wrist radiographs (children aged 16 months to 10 years 6 months) on two separate occasions between musculoskeletal paediatric radiologists, paediatric orthopaedic surgeons and a senior radiographer after appropriate training. Results All clinicians were able to reliably age patients with good intra- and interobserver agreement. Conclusion We suggest that following tuition, orthopaedic surgeons are able to reliably age patients from X-rays. Objective Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in order to correct any discrepancy. To our knowledge, there has not been an interdisciplinary comparison of the degree of agreement in determining skeletal bone age. Materials and methods We evaluated 30 left hand/wrist radiographs (children aged 16 months to 10 years 6 months) on two separate occasions between musculoskeletal paediatric radiologists, paediatric orthopaedic surgeons and a senior radiographer after appropriate training. Results All clinicians were able to reliably age patients with good intra- and interobserver agreement. Conclusion We suggest that following tuition, orthopaedic surgeons are able to reliably age patients from X-rays. |
| Author | Rajan, R. A. Konstantoulakis, C. Metcalfe, J. E. Swindells, M. G. |
| Author_xml | – sequence: 1 givenname: R. A. surname: Rajan fullname: Rajan, R. A. organization: Sheffield Children's Hospital, Western Bank, S10 2TH, Sheffield UK – sequence: 2 givenname: M. G. surname: Swindells fullname: Swindells, M. G. email: mgswindells@doctors.org.uk organization: Sheffield Children's Hospital, Western Bank, S10 2TH, Sheffield UK – sequence: 3 givenname: J. E. surname: Metcalfe fullname: Metcalfe, J. E. organization: Sheffield Children's Hospital, Western Bank, S10 2TH, Sheffield UK – sequence: 4 givenname: C. surname: Konstantoulakis fullname: Konstantoulakis, C. organization: Sheffield Children's Hospital, Western Bank, S10 2TH, Sheffield UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22295052$$D View this record in MEDLINE/PubMed |
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| Copyright | 2011 European Pediatric Orthopaedic Society (EPOS), unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses. EPOS 2010 2011. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Keywords | Orthopaedic training Radiology teaching Bone age measurement |
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| References_xml | – volume: 147 start-page: 1329 issue: 12 year: 1993 end-page: 1333 article-title: Applicability of the greulich and pyle skeletal age standards to black and white children of today publication-title: Am J Dis Child contributor: fullname: Morrison – volume: 2 start-page: 407 issue: 6 year: 2008 end-page: 415 article-title: Lower-limb growth: how predictable are predictions? publication-title: J Child Orthop contributor: fullname: Diméglio – volume: 45 start-page: 1 year: 1963 end-page: 14 article-title: Growth and predictions of growth in the lower extremities publication-title: J Bone Joint Surg Am contributor: fullname: Messner – volume: 82 start-page: 1432 year: 2000 end-page: 1446 article-title: Multiplier method for predicting limb-length discrepancy publication-title: J Bone Joint Surg Am contributor: fullname: Bowen – volume: 77 start-page: 743 issue: 5 year: 1995 end-page: 747 article-title: A graphic method for timing the correction of leg-length discrepancy publication-title: J Bone Joint Surg Br contributor: fullname: Cole – volume: 46 start-page: 1197 issue: 6 year: 1964 end-page: 1202 article-title: Distributions of lengths of the normal femur and tibia in children from 1 to 18 years of age publication-title: J Bone Joint Surg Am contributor: fullname: Green – volume: 5 start-page: 513 year: 1988 end-page: 515 article-title: Skeletal age estimation in leg length discrepancy publication-title: J Pediatr Orthop contributor: fullname: Foster – volume: 48 start-page: 336 year: 1966 end-page: 339 article-title: Correction of leg length discrepancy by epiphyseal arrest publication-title: J Bone Joint Surg Br contributor: fullname: Menelaus – volume: 17 start-page: 199 year: 1960 end-page: 217 article-title: Skeletal age and the control of bone growth publication-title: Instr Course Lect contributor: fullname: Anderson – volume: 63 start-page: 117 year: 1981 end-page: 119 article-title: A simple calculation for the timing of epiphyseal arrest: a further report publication-title: J Bone Joint Surg Br contributor: fullname: Menelaus – volume: 48 start-page: 336 year: 1966 end-page: 339 ident: CR5 article-title: Correction of leg length discrepancy by epiphyseal arrest publication-title: J Bone Joint Surg Br contributor: fullname: Menelaus – volume: 77 start-page: 743 issue: 5 year: 1995 end-page: 747 ident: CR10 article-title: A graphic method for timing the correction of leg-length discrepancy publication-title: J Bone Joint Surg Br contributor: fullname: Cole – volume: 46 start-page: 1197 issue: 6 year: 1964 end-page: 1202 ident: CR7 article-title: Distributions of lengths of the normal femur and tibia in children from 1 to 18 years of age publication-title: J Bone Joint Surg Am contributor: fullname: Green – ident: CR3 – volume: 147 start-page: 1329 issue: 12 year: 1993 end-page: 1333 ident: CR11 article-title: Applicability of the greulich and pyle skeletal age standards to black and white children of today publication-title: Am J Dis Child contributor: fullname: Morrison – ident: CR2 – volume: 17 start-page: 199 year: 1960 end-page: 217 ident: CR6 article-title: Skeletal age and the control of bone growth publication-title: Instr Course Lect contributor: fullname: Anderson – volume: 63 start-page: 117 year: 1981 end-page: 119 ident: CR4 article-title: A simple calculation for the timing of epiphyseal arrest: a further report publication-title: J Bone Joint Surg Br contributor: fullname: Menelaus – volume: 82 start-page: 1432 year: 2000 end-page: 1446 ident: CR8 article-title: Multiplier method for predicting limb-length discrepancy publication-title: J Bone Joint Surg Am contributor: fullname: Bowen – volume: 2 start-page: 407 issue: 6 year: 2008 end-page: 415 ident: CR1 article-title: Lower-limb growth: how predictable are predictions? publication-title: J Child Orthop doi: 10.1007/s11832-008-0119-8 contributor: fullname: Diméglio – volume: 4 start-page: 467 issue: 5 year: 2010 end-page: 470 ident: CR12 article-title: Skeletal and chronological ages in American adolescents: current findings in skeletal maturation publication-title: J Child Orthop contributor: fullname: Goldfarb – volume: 5 start-page: 513 year: 1988 end-page: 515 ident: CR13 article-title: Skeletal age estimation in leg length discrepancy publication-title: J Pediatr Orthop doi: 10.1097/01241398-198809000-00002 contributor: fullname: Foster – volume: 45 start-page: 1 year: 1963 end-page: 14 ident: CR9 article-title: Growth and predictions of growth in the lower extremities publication-title: J Bone Joint Surg Am contributor: fullname: Messner – ident: bibr10-s11832-010-0307-1 doi: 10.1302/0301-620X.77B5.7559702 – ident: bibr2-s11832-010-0307-1 doi: 10.1097/00000441-195909000-00030 – ident: bibr1-s11832-010-0307-1 doi: 10.1007/s11832-008-0119-8 – ident: bibr5-s11832-010-0307-1 doi: 10.1302/0301-620X.48B2.336 – ident: bibr3-s11832-010-0307-1 – ident: bibr13-s11832-010-0307-1 doi: 10.1097/01241398-198809000-00002 – ident: bibr4-s11832-010-0307-1 doi: 10.1302/0301-620X.63B1.7204464 – ident: bibr9-s11832-010-0307-1 doi: 10.2106/00004623-196345010-00001 – ident: bibr12-s11832-010-0307-1 doi: 10.1007/s11832-010-0289-z – ident: bibr8-s11832-010-0307-1 doi: 10.2106/00004623-200010000-00010 – volume: 147 start-page: 1329 issue: 12 year: 1993 ident: bibr11-s11832-010-0307-1 publication-title: Am J Dis Child contributor: fullname: Loder RT – volume: 17 start-page: 199 year: 1960 ident: bibr6-s11832-010-0307-1 publication-title: Instr Course Lect contributor: fullname: Green WT – ident: bibr7-s11832-010-0307-1 doi: 10.2106/00004623-196446060-00004 |
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Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical... Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical intervention in... Objective Determination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical... OBJECTIVEDetermination of skeletal age is essential for predicting eventual leg length discrepancies and predicting the accurate timing for surgical... |
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| SubjectTerms | Age Confidence intervals Data analysis Medicine Medicine & Public Health Original Clinical Original Clinical Article Orthopedics Patients Pediatrics Surgeons Surgery Traumatic Surgery Validity Wrist |
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| Title | Can orthopaedic clinicians learn to read skeletal bone age? An inter- and intra observer study between specialties |
| URI | https://journals.sagepub.com/doi/full/10.1007/s11832-010-0307-1 https://link.springer.com/article/10.1007/s11832-010-0307-1 https://www.ncbi.nlm.nih.gov/pubmed/22295052 https://www.proquest.com/docview/2584467471 https://search.proquest.com/docview/919649950 https://pubmed.ncbi.nlm.nih.gov/PMC3024482 |
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