Classification of distal radius fractures in children: good inter- and intraobserver reliability, which improves with clinical experience

Table 3 Reliability of fracture classification of 105 consecutive pediatric distal radius fractures rated by 12 doctors with variable level of experience in fracture management.

	Complete agreement at first reading	Two categories at first reading	Three categories at first reading	Four categories at first reading	Inter-observer values at first reading	Inter-observer values at second reading	Intra-observer agreement (Mean kappa)
All 12 raters	41.9	40.0	15.2	2.9	0.61	0.59	0.73
8 senior raters	58.1	30.5	11.4	-	0.66	0.70	0.77
4 junior registrars	56.2	38.1	5.7	-	0.59	0.50	0.66
4 senior registrars	65.7	27.6	6.7	-	0.63	0.72	0.79
4 consultants	67.6	27.6	4.8	-	0.66	0.67	0.74

Kappa values and percentage of cases placed in one, two, three or all four categories

ISSN: 1471-2474