Substantial variability in what is considered important in the radiological report for anterior shoulder instability a Delphi study with Dutch musculoskeletal radiologists and orthopedic surgeons

Substantial variability in what is considered important in the radiological report for anterior shoulder instability : a Delphi study with Dutch musculoskeletal radiologists and orthopedic surgeons

© 2024 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 8(2024), 4 vom: 04. Juli, Seite 746-750
1. Verfasser: Rutgers, Cain (VerfasserIn)
Weitere Verfasser: Verweij, Lukas P E (BerichterstatterIn), van den Bekerom, Michel P J (BerichterstatterIn), van der Woude, Henk-Jan (BerichterstatterIn), SINC Study Group (BerichterstatterIn), Scholtens, A E (BerichterstatterIn), Soepboer, A (BerichterstatterIn), van Noort, A (BerichterstatterIn), Muller, B (BerichterstatterIn), Steunenberg, B E (BerichterstatterIn), Visser, C P J (BerichterstatterIn), Loeffen, D V (BerichterstatterIn), Hanff, D F (BerichterstatterIn), van Deurzen, D F P (BerichterstatterIn), Raven, E E J (BerichterstatterIn), Oei, E H G (BerichterstatterIn), Zijta, F M (BerichterstatterIn), van der Veen, H C (BerichterstatterIn), Kilsdonk, I D (BerichterstatterIn), Dening, J (BerichterstatterIn), Habets, J (BerichterstatterIn), Kluijtmans, L (BerichterstatterIn), Huygen, L E (BerichterstatterIn), Boomsma, M F (BerichterstatterIn), Adriaensen, M E A P M (BerichterstatterIn), van der Meer, J O (BerichterstatterIn), Lambers Heerspink, F O (BerichterstatterIn), van der Meijden, O A J (BerichterstatterIn), Ousema, P H (BerichterstatterIn), Krol, R G (BerichterstatterIn), Bollen, S M (BerichterstatterIn), Diepstraten, S C E (BerichterstatterIn), de Jong, S N (BerichterstatterIn), Berendes, T D (BerichterstatterIn), Gosens, T (BerichterstatterIn), Alta, T D W, Versteegh, V E, Foppen, W, Kleinlugtenbelt, Y V
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Bankart lesions Delphi technique Magnetic resonance imaging Shoulder Shoulder dislocation Tomography X-ray computed X-rays
Beschreibung
Zusammenfassung:© 2024 The Author(s).
Background: Standardized consensus-based radiological reports for shoulder instability may improve clinical quality, reduce heterogeneity, and reduce workload. Therefore, the aim of this study was to determine important elements for the x-ray, magnetic resonance imaging (MRI) arthrography (MRA), and computed tomography (CT) report, the extent of variability, and important MRI views and settings
Methods: An expert panel of musculoskeletal radiologists and orthopedic surgeons was recruited in a three-round Delphi design. Important elements were identified for the x-ray, MRA, and CT report and important MRI views and setting. These were rated on a 0-9 Likert scale. High variability was defined as at least one score between 1-3 and 7-9. Consensus was reached when ≥80% scored an element 1-3 or 7-9
Results: The expert panel consisted of 21 musculoskeletal radiologists and 15 orthopedic surgeons. The number of elements identified in the first round was seventeen for the x-ray report, 52 for MRA, 21 for CT, and 23 for the MRI protocol. The number of elements that reached consensus was five for x-ray, twenty for MRA, nine for CT, and two for the MRI protocol. High variability was observed in 76.5% (n = 13) x-ray elements, 85.0% (n = 45) MRA, 76.2% (n = 16) CT, and 85.7% (n = 18) MRI protocol
Conclusion: Substantial variability was observed in the scoring of important elements in the radiological for the evaluation of anterior shoulder instability, regardless of modality. Consensus was reached for five elements in the x-ray report, twenty in the MRA report, and nine in the CT report. Finally, consensus was reached on two elements regarding MRA views and settings
Beschreibung:Date Revised 23.07.2024
published: Electronic-eCollection
Citation Status PubMed-not-MEDLINE
ISSN:2666-6383
DOI:10.1016/j.jseint.2024.03.012