AI Article Synopsis
- The appearance of calcific tendinitis in the rotator cuff changes with its disease stage, prompting a comparison of classification systems.
- Thirty-seven orthopedic surgeons assessed shoulder X-rays from 25 patients using Gärtner and Molé classification systems on a web-based platform.
- The study found that while both systems had fair agreement among observers, the Gärtner classification was significantly more reliable, though neither system effectively guides treatment choices.
Article Abstract
The radiographic appearance of calcific tendinitis of the rotator cuff varies according to the stage of the disease. We compared currently used classification systems in a large group of observers to identify the most reliable classification system. Thirty-seven orthopaedic surgeons evaluated shoulder radiographs of 25 patients to classify the stage of the calcific tendinitis according to the classifications by (1) Gärtner and (2) Molé on a Web-based study platform. Inter and intraobserver agreement among observers was measured using the Siegel and Castellan multirater κ. Both classification systems had fair interobserver agreement : κ was 0.25 for the Molé classification and 0.34 for the Gärtner classification. The Gärtner classification was significantly more reliable than the Molé classification. Currently there is no radiographic classification that can serve the purpose of guiding the treatment in a reliable way.
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