Evidence map›Paper›PMID 40761569›Full record

ArticleJournal of hip preservation surgery2025

Comparison of interobserver and Intraobserver reliability of alpha angle measurements using different types of circles for femoroacetabular impingement syndrome.

Özgür Aydin, Onur Hapa, Emre Acar, Mustafa Celtik, Selahattin Agca, Cihangir Turemis, Raif C Yarol, Selahaddin Aydemir

Abstract read
In one paragraph

Article in Journal of hip preservation surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

2 citing papers in PubMed.

  1. Defining the postoperative alpha angle threshold for improved outcomes in posterolateral cam lesions.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2026
    Article
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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

8 authors.

Özgür AydinDepartment of Orthopaedic Surgery, Faculty of Medicine, Dokuz Eylul University, İnciralti, Mithatpasa St. No:56 Balcova, Izmir 35330, Turkey.ORCID https://orcid.org/0000-0003-1920-1243
Onur HapaDepartment of Orthopaedic Surgery, Faculty of Medicine, Dokuz Eylul University, İnciralti, Mithatpasa St. No:56 Balcova, Izmir 35330, Turkey.ORCID https://orcid.org/0000-0001-8154-658X
Emre AcarDepartment of Orthopaedic Surgery, Faculty of Medicine, Dokuz Eylul University, İnciralti, Mithatpasa St. No:56 Balcova, Izmir 35330, Turkey.ORCID https://orcid.org/0000-0003-0177-8343
Mustafa CeltikDepartment of Orthopaedic Surgery, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Demetevler, 354/1. St., Yenimahalle, Ankara 06200, Turkey.ORCID https://orcid.org/0000-0002-0517-6684
Selahattin AgcaDepartment of Orthopaedic Surgery, Faculty of Medicine, Dokuz Eylul University, İnciralti, Mithatpasa St. No:56 Balcova, Izmir 35330, Turkey.ORCID https://orcid.org/0000-0002-7556-0585
Cihangir TuremisDepartment of Orthopaedic Surgery, Alper Cizgenakat State Hospital, Boyalık Mevki, Fahrettinpasa, Cesme-ilica Road 2/A, Izmir 35930, Turkey.ORCID https://orcid.org/0000-0002-5794-6652
Raif C YarolDepartment of Radiology, Faculty of Medicine, Dokuz Eylul University, İnciralti, Mithatpasa St. No:56 Balcova, Izmir 35330, Turkey.ORCID https://orcid.org/0000-0003-2007-224X
Selahaddin AydemirDepartment of Orthopaedic Surgery, Faculty of Medicine, Dokuz Eylul University, İnciralti, Mithatpasa St. No:56 Balcova, Izmir 35330, Turkey.ORCID https://orcid.org/0000-0002-4201-8239

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The alpha angle is a radiological measurement that has been proposed for the detection of cam morphology in patients suspected of femoroacetabular impingement syndrome (FAIS). After analysing published articles on FAIS, it is apparent that different types of circles are used in the measurement of alpha angles. To determine the interobserver and intraobserver reliability of alpha angle values measured using different types of circles on a 45° Dunn lateral radiograph in patients with symptomatic FAIS. The 45° Dunn lateral radiographs of the operated hips of patients who underwent hip preservation surgery in Dokuz Eylül University Hospital between 2014 and 2017 were evaluated retrospectively. Alpha angles were measured manually with transparent goniometers using three different circle types: thin full circle, thin-dashed circle, and thick full circle, and eye estimation without circle insertion. Measurements were made separately by an orthopaedist and a radiologist. A second measurement was made by the radiologist 1 month later for intraobserver reliability. Interobserver reliability for the thin full circle, thin-dashed circle, thick circle, and eye estimation (ICC = 0.645, 0.525, 0.494, and 0.588, respectively). Intraobserver reliability for the thin, thin-dashed, thick line, and eye estimation (ICC= 0.626, 0.681, 0.681, and 0.462 respectively). Interobserver difference of mean values of alpha angles for thin full, thin-dashed, thick full, and eye estimation were 2.7°, 0.9°, 1.1°, and 2.3°, respectively. Intraobserver differences between measurements were 1.5°, 0.9°, 0°, and 1.6°, respectively. Our study demonstrated that interobserver reliability is highest when measurements are made using a thin full circle.

Identifiers

PMID40761569
PMCPMC12318922

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.