{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:02:53Z","timestamp":1777852973824,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T00:00:00Z","timestamp":1655942400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>On two occasions, five surgeons classified a cohort of 150 consecutive patients with congenital upper limb anomalies according to the Oberg\u2013Manske\u2013Tonkin classification (2020 update). We estimated reliability for the main anomaly code by means of Cohen\u2019s kappa (\u039a) for ten rater pairs for five common and easily distinguishable anomalies (Group 1), and for all the other anomalies (Group 2). Inter-rater reliability for all patients ( n\u2009=\u2009150) was substantial, almost perfect for Group 1 ( n\u2009=\u200964), but only moderate for Group 2 ( n\u2009=\u200986). Intra-rater reliability was higher for all groups. We suggest simplifications to the Oberg\u2013Manske\u2013Tonkin classification and highlight specific requirements for instructions to increase its reliability.<\/jats:p>\n                  <jats:p>Level of evidence: I<\/jats:p>","DOI":"10.1177\/17531934221107264","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T02:57:36Z","timestamp":1656039456000},"page":"1016-1024","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Inter- and intra-rater reliability of the Oberg\u2013Manske\u2013Tonkin classification of congenital upper limb anomalies"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8884-3859","authenticated-orcid":false,"given":"Ida Neerg\u00e5rd","family":"Sletten","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona Irene","family":"Winge","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wiebke","family":"H\u00fclsemann","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Catholic Children's Hospital Wilhelmstift, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Arner","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, S\u00f6dersjukhuset, Stockholm, Sweden"},{"name":"Department of Clinical Science and Education, S\u00f6dersjukhuset, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karina Liv","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jarkko","family":"Jokihaara","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Tampere University Hospital, Central Hospital, Tampere, Finland"},{"name":"Faculty of Medicine and Health Technology, Tampere University, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,23]]},"reference":[{"key":"bibr1-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.02.003"},{"key":"bibr2-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000732"},{"key":"bibr3-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.11.014"},{"key":"bibr4-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414526334"},{"key":"bibr5-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2020.01.002"},{"key":"bibr6-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.10.038"},{"key":"bibr7-17531934221107264","doi-asserted-by":"publisher","DOI":"10.20982\/tqmp.08.1.p023"},{"key":"bibr8-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.07.006"},{"key":"bibr9-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2017.1340040"},{"key":"bibr10-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1177\/1753193420965364"},{"key":"bibr11-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.1999.1145"},{"key":"bibr12-17531934221107264","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.08.011"},{"key":"bibr13-17531934221107264","unstructured":"Lam WL. 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