Evidence map›Paper›PMID 39618534›Full record

ArticleClinics in orthopedic surgery2024

Computed Tomography Versus Simple Radiography for Detecting and Classifying Heterotopic Ossification after Reverse Shoulder Arthroplasty.

Tae Kang Lim, Yun Sun Choi, Gu Min Jeong, Dong Kyun Kim, Myung-Sun Kim

Abstract readComparative Study
In one paragraph

Article in Clinics in orthopedic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tae Kang LimDepartment of Orthopedic Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8752-3987
Yun Sun ChoiDepartment of Radiology, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7082-3991
Gu Min JeongDepartment of Orthopedic Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8279-3125
Dong Kyun KimDepartment of Orthopedic Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0009-0008-5077-9864
Myung-Sun KimDepartment of Orthopedic Surgery, Chonnam National University Medical School and Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-2404-090X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgroud: Heterotopic ossification (HO) is difficult to characterize and classify on simple radiographs. Therefore, we attempted to evaluate intraobserver and interobserver reliability of simple radiography and computed tomography (CT) for detecting and classifying HO after reverse shoulder arthroplasty (RSA). It was hypothesized that CT would provide more reliable results than simple radiography. Methods: This retrospective study reviewed 30 patients who underwent RSA performed by a single surgeon. Patients were included if they had both postoperative simple radiographs and CT images taken immediately after surgery and at 1 year after surgery and if they had completed clinical assessment at least 1 year after surgery. We first evaluated the intraobserver and interobserver reliability for the detection of the presence of HO and Modified Brooker's classification both on simple radiographs and CT scans with the use of Kappa statistics. Then, we analyzed the correlation of HO observed in simple radiographs and CT scans with clinical outcomes. All radiographic evaluations were performed by 2 independent reviewers in random orders with 3 weeks of intervals. Results: The intraobserver reliability outcomes of both reviewers in simple radiography and CT were almost perfect or perfect for the detection of HO and classification. However, CT images improved the interobserver reliability for the detection of HO (kappa value for simple radiographs [K Conclusions: Both simple radiography and CT provided excellent intraobserver reliability for detecting and classifying HO after RSA. Compared to simple radiography, CT tended to improve interobserver reliability and defined the presence and severity of HO more clearly.

Indexed as

Arthroplasty, Replacement, ShoulderOssification, HeterotopicTomography, X-Ray ComputedAgedAged, 80 and overFemaleHumansMaleMiddle AgedObserver VariationPostoperative ComplicationsReproducibility of ResultsRetrospective StudiesShoulder JointAcetubulumComplicationFractureOutcomePrognostic factor

Identifiers

PMID39618534
PMCPMC11604567

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