{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:43:49Z","timestamp":1767707029760},"reference-count":18,"publisher":"SLACK, Inc.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:p>The management of acromioclavicular joint separations, in particular Rockwood types III and V, remains controversial. The purpose of this study was to investigate the observer reliability of shoulder surgeons when presented with the same cases of acromioclavicular joint separations. The authors retrospectively identified 28 patients who were diagnosed with a type III, IV, or V acromioclavicular joint separation. A PowerPoint presentation was compiled that contained an anteroposterior and axial radiograph from each patient prior to treatment. Radiographs were sent to surgeons, who diagnosed each injury according to the Rockwood classification and stated whether they recommended operative or nonoperative treatment for each patient.<\/jats:p>\n          <jats:p>Inter- and intraobserver reliability were calculated from the surgeons\u2019 reviews. Repeat diagnoses were returned by 8 surgeons. A single-measure intraclass correlation coefficient (ICC) was used to determine interobserver reliability for the surgeons\u2019 Rockwood classifications (ICC=0.602) and their decision to operate (ICC=0.469). Intraobserver reliability also was calculated for Rockwood classifications (\u03c1=0.694) and decision to operate (\u03ba=0.366). Two (25%) of 8 surgeons stated that they would have used open and arthroscopic techniques for repairing the dislocations, whereas the remaining (75%) surgeons would have performed open techniques. Individual surgeons were consistent in their grading of acromioclavicular joint dislocations, but less observer agreement existed among the surgeons. Poor agreement among surgeons for the decision to operate indicates that this decision is heavily influenced by clinical factors and the radiographic classification.<\/jats:p>","DOI":"10.3928\/01477447-20120919-16","type":"journal-article","created":{"date-parts":[[2012,10,1]],"date-time":"2012-10-01T17:40:11Z","timestamp":1349113211000},"source":"Crossref","is-referenced-by-count":33,"title":["Inter- and Intraobserver Reliability of the Radiographic Diagnosis and Treatment of Acromioclavicular Joint Separations"],"prefix":"10.3928","volume":"35","author":[{"given":"Matthew J.","family":"Kraeutler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Gerald R.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven B.","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"Ciccotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradford S.","family":"Tucker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua S.","family":"Dines","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W.","family":"Altchek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher C.","family":"Dodson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506298022"},{"key":"e_1_3_2_3_2","first-page":"483","volume-title":"The Shoulder","author":"Rockwood CA","year":"1998","unstructured":"Rockwood CA, Williams GR, Young DC. Disorders of the acromioclavicular joint. In: , Rockwood CA, Matsen FA, eds. The Shoulder. Philadelphia, PA: WB Saunders; 1998:483\u2013553."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2005.03.002"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.jsa.0000212330.32969.6e"},{"issue":"2","key":"e_1_3_2_6_2","first-page":"89","article-title":"Type III acromioclavicular separation: results of a recent survey on its management","volume":"36","author":"Nissen CW","year":"2007","unstructured":"Nissen CW, Chatterjee A. Type III acromioclavicular separation: results of a recent survey on its management. Am J Orthop. 2007; 36(2):89\u201393.","journal-title":"Am J Orthop"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e318169f4c1"},{"issue":"193","key":"e_1_3_2_8_2","first-page":"150","article-title":"A comparative analysis of operative versus nonoperative treatment of grade III acromioclavicular separations","author":"Galpin RD","year":"1985","unstructured":"Galpin RD, Hawkins RJ, Grainger RW. A comparative analysis of operative versus nonoperative treatment of grade III acromioclavicular separations. Clin Orthop Relat Res. 1985; (193):150\u2013155.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668040-00011"},{"issue":"2","key":"e_1_3_2_10_2","first-page":"77","article-title":"Treatment of grade III acromioclavicular separations: operative versus nonoperative management","volume":"56","author":"Press J","year":"1997","unstructured":"Press J, Zuckerman JD, Gallagher M, Cuomo F. Treatment of grade III acromioclavicular separations: operative versus nonoperative management. Bull Hosp Jt Dis. 1997; 56(2):77\u201383.","journal-title":"Bull Hosp Jt Dis"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-011-0127-1"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.12.014"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505284187"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300118"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509355645"},{"key":"e_1_3_2_16_2","article-title":"Acromioclavicular joint injuries and reconstructions: a review of expected imaging findings and potential complications [published online ahead of print May 26, 2012]","author":"Kim AC","unstructured":"Kim AC, Matcuk G, Patel D, et al. Acromioclavicular joint injuries and reconstructions: a review of expected imaging findings and potential complications [published online ahead of print May 26, 2012]. Emerg Radiol.","journal-title":"Emerg Radiol"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2009.12.002"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02588145"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.282075714"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20120919-16","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T12:42:52Z","timestamp":1683117772000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20120919-16"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,10]]}},"alternative-id":["10.3928\/01477447-20120919-16"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20120919-16","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10]]}}}