An evaluation of the Herscovici classification for fractures of the medial malleolus

Highlights • We determined the reliability and accuracy of the Herscovici classification of medial malleolus fractures by examining the blinded radiographs of 130 patients with medial malleolus fractures. • We held a consensus meeting where observers agreed on a final classification and this served...

Full description

Saved in:
Bibliographic Details
Published in:Foot and ankle surgery 2017-12, Vol.23 (4), p.317-320
Main Authors: Aitken, Stuart A, MD FRCS, Johnston, Ian, MBChB BSc, Jennings, Angus C, MBChB FRACS, Chua, Ivan TH, MBBS FRCS, Buckley, Richard E, MD FRCSC
Format: Article
Language:English
Subjects:
Accuracy
Ankle Fractures - classification
Ankle Fractures - diagnostic imaging
Consensus
Fracture
Humans
Medial malleolus
Observer Variation
Orthopedics
Reliability
Reproducibility of Results
Single-Blind Method
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Highlights • We determined the reliability and accuracy of the Herscovici classification of medial malleolus fractures by examining the blinded radiographs of 130 patients with medial malleolus fractures. • We held a consensus meeting where observers agreed on a final classification and this served as our reference standard. • The classification system demonstrated moderate inter-observer reliability (κ = 0.54, 95% CI 0.40-0.68) but substantial reproducibility (κ = 0.64, 95% CI 0.51-0.79). • During the consensus meeting, 24 fractures (18%) were deemed unclassifiable by a majority decision; in 18 cases the observers could not agree between types B and C; in five cases no decision could be reached between C and D; in one case the fracture was bi-focal and could not be classified. • Future work should focus on refining the Herscovici classification to improve its application in the clinical setting.
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2016.10.003