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Reliability of the Lisfranc injury radiological classification (Myerson-modified Hardcastle classification system).

Mahmoud, Shady, Hamad, Faisal, Riaz, Muhammad ORCID: https://orcid.org/0000-0002-5512-1745, Ahmed, Ghalib, Al Ateeq, Mohammed and Ibrahim, Talal 2015. Reliability of the Lisfranc injury radiological classification (Myerson-modified Hardcastle classification system). International Orthopaedics 39 , pp. 2215-2218. 10.1007/s00264-015-2939-8

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Abstract

Purpose The objective of our study was to assess the reliability of the radiological classification system (Myerson-modified Hardcastle Classification System) for Lisfranc injury. The classification system is a three-grade ordinal scale based on fracture displacement. Methods Thirty-nine Lisfranc injury radiographs were evaluated by 38 independent observers consisting of consultant orthopaedic surgeons (18), orthopaedic surgery residents (17) and consultant musculoskeletal radiologists (3) on two separate occasions after receiving training in the use of the classification. Results The intra- and inter-observer reliability was assessed using the intraclass correlation coefficient (ICC) and found to be excellent. The mean weighted intra- and inter-observer ICCs were 0.94 (95 % CI 0.89–0.97, p < 0.01) and 0.81 (95 % CI 0.68–0.89, p < 0.01), respectively. Conclusion The Myerson-modified Hardcastle classification system in our study was shown to be reliable and can be used in outcome studies and provide standard terminology among clinicians for Lisfranc injuries.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Springer Verlag (Germany)
ISSN: 0341-2695
Date of Acceptance: 13 July 2015
Last Modified: 10 Nov 2022 10:11
URI: https://orca.cardiff.ac.uk/id/eprint/145926

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