The accuracy and reliability of estimation of lateral pillar height in determining the herring grade in Legg-Calve-Perthes disease

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dc.authoridAkgun, Rahmi Can/0000-0002-7545-1784;
dc.authorwosidaksoy, cemalettin/AAA-3366-2021
dc.authorwosidKocher, Mininder S./K-1604-2019
dc.authorwosidAksoy, Mehmet/JKH-6721-2023
dc.authorwosidAkgun, Rahmi Can/AAJ-4335-2021
dc.authorwosidYazici, Muharrem/G-9153-2011
dc.contributor.authorAkgun, R
dc.contributor.authorYazici, M
dc.contributor.authorAksoy, MC
dc.contributor.authorCil, A
dc.contributor.authorAlpaslan, AM
dc.contributor.authorTumer, Y
dc.date.accessioned2024-08-04T21:01:18Z
dc.date.available2024-08-04T21:01:18Z
dc.date.issued2004
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThe amount of the preserved lateral pillar height (LPH) for assigning Herring grades is estimated during daily practice in Perthes disease. Despite this estimation, Herring classification has been reported to have a good interobserver agreement. The purpose of this study was to investigate whether the amount of preserved LPH has an effect on interobserver agreement. The results of surgeons' estimates were compared with objective measurement results. Good agreement was found among three experienced pediatric orthopaedic surgeons in 50 patients (1 vs. 2, kappa = 0.527; 2 vs. 3, kappa = 0.526; 1 vs. 3, kappa = 0.539). Twenty of these cases had a ratio of the LPH scattered between 0.45 and 0.60 and 0.90 and 0.99 (transition between group B and C, and group A and B). When the borderline cases were evaluated separately, the interobserver reliability was poor (1 vs. 2, kappa = 0.194; 2 vs. 3, kappa = 0.256; 1 vs. 3, kappa = 0.154), which may be explained by misperception of the preserved LPH. If the Herring classification is to be used as the prognostic indicator for deciding among the treatment alternatives, and LPH is the major determinant of the management, measurements should be used instead of estimates, especially in borderline cases.en_US
dc.identifier.doi10.1097/01241398-200411000-00011
dc.identifier.endpage653en_US
dc.identifier.issn0271-6798
dc.identifier.issn1539-2570
dc.identifier.issue6en_US
dc.identifier.pmid15502565en_US
dc.identifier.startpage651en_US
dc.identifier.urihttps://doi.org/10.1097/01241398-200411000-00011
dc.identifier.urihttps://hdl.handle.net/11616/104273
dc.identifier.volume24en_US
dc.identifier.wosWOS:000224719600011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Pediatric Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHerring classificationen_US
dc.subjectestimationen_US
dc.subjectreliabilityen_US
dc.subjectaccuracyen_US
dc.subjectobjective assessmenten_US
dc.titleThe accuracy and reliability of estimation of lateral pillar height in determining the herring grade in Legg-Calve-Perthes diseaseen_US
dc.typeArticleen_US

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