Humeral Head Ossification Growth Prediction: Can This Method Be Reproduced?

Conclusions: We found fair to moderate interobserver and intraobserver reliability with the HHOS and this was independent of level of orthopaedic experience. This is much lower than reported by the authors who developed the system, and suggests that the HHOS might not be as easy to incorporate into a scoliosis management algorithm as previously noted. The improved reliability achieved when staging the humeral head as pre-PGA or post-PGA might be the true benefit of this system. Level of Evidence: Level III—diagnostic.
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Growth Source Type: research