Garden's Classification of Femoral Neck Fractures. An Assessment of Inter-observer Variation

Overview

Journal J Bone Joint Surg Br

Specialties General Surgery
Orthopedics

Date 1988 Aug 1

PMID 3403602

Citations 36

Authors

P A Frandsen

E Andersen

F Madsen

T Skjodt

Affiliations

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Abstract

Radiographs of 100 randomly chosen femoral neck fractures were assessed by eight observers using Garden's classification. The radiographs were classified identically by all eight in only 22 cases. Another 45 cases were classified by some observers as undisplaced fractures (Stages 1 and 2) and by others as displaced fractures (Stages 3 and 4). Between the different observers the number of displaced fractures varied from 63 to 89. These results show that observers had a relatively poor ability to delineate the various stages of Garden's classification.

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