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Is it difficult to obtain inter-observer agreement in the measurement of the beta angle in ultrasound evaluation of the paediatric hip?

Title: Is it difficult to obtain inter-observer agreement in the measurement of the beta angle in ultrasound evaluation of the paediatric hip?
Authors: Karakus O; Fatih Sultan Mehmet Training and Research Hospital, Omer Halisdemir University Hospital, Petrolıs st. Sümer bloc no: A-16 Kartal, İstanbul, Turkey. ozgunkarakus@hotmail.com.; Karaman O; Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.; Sari AS; Omer Halisdemir University Hospital, Niğde, Turkey.; Orak MM; Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.; Muratli HH; Fatih Sultan Mehmet Training and Research Hospital, Marmara University, Istanbul, Turkey.
Source: Journal of orthopaedic surgery and research [J Orthop Surg Res] 2019 Jul 17; Vol. 14 (1), pp. 221. Date of Electronic Publication: 2019 Jul 17.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 101265112 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-799X (Electronic) Linking ISSN: 1749799X NLM ISO Abbreviation: J Orthop Surg Res Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, 2006-
MeSH Terms: Hip Dislocation, Congenital/*diagnostic imaging ; Orthopedic Surgeons/*standards ; Ultrasonography/*standards; Female ; Humans ; Infant ; Male ; Observer Variation
Abstract: Introduction: The aim of this study was to determine the differences and consistencies in the morphological and angular interpretations of standard USG images. Therefore, it was aimed to show the correlations of orthopaedic doctors with different periods of experience in hip ultrasound measurements taken with the Graf method.; Materials and Methods: The study included 210 infants randomly selected from those who presented at our hospital for DDH screening. A total of 6 ultrasound images were taken for each hip. These images were evaluated by  two paediatric orthopaedic professors, two orthopaedic specialists and two orthopaedic residents. The correlations of these measurements between all the doctors were evaluated statistically.; Results: In beta angle evaluation, agreement between all the evaluators was at the level of 0.054. No agreement was seen between the two residents or between the two specialists (p = 0.003, p = 0.998, p = 0.998, respectively). Agreement between the two professors was determined at the level of 0.508 (p 
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Contributed Indexing: Keywords: Beta angle; Congenital hip dysplasia; Graf method; Ultrasonography
Entry Date(s): Date Created: 20190719 Date Completed: 20200115 Latest Revision: 20200225
Update Code: 20260130
PubMed Central ID: PMC6637646
DOI: 10.1186/s13018-019-1263-1
PMID: 31315640
Database: MEDLINE

Journal Article