@article {5276,
	title = {Interobserver variability in the treatment of little finger metacarpal neck fractures.},
	journal = {J Hand Surg Am},
	volume = {39},
	year = {2014},
	month = {2014 Sep},
	pages = {1722-7},
	abstract = {PURPOSE: To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs.

METHODS: Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma surgeons, were asked to review 20 little finger metacarpal neck fracture cases, which included a vignette and 3 high-quality radiographs. Members were then randomized to review radiographs with or without measured fracture angulation on the lateral view and select operative or nonoperative management.

RESULTS: Surgeons shown radiographs with measured angulation were more likely to recommend surgery, and there was less variability among these surgeons, particularly for fractures with less angular deformity.

CONCLUSIONS: Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures.

TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic III.},
	keywords = {Adult, Aged, Female, Finger Injuries, Fractures, Bone, Humans, Male, Metacarpus, Middle Aged, Observer Variation, Practice Patterns, Physicians{\textquoteright}, Radiography, Random Allocation},
	issn = {1531-6564},
	doi = {10.1016/j.jhsa.2014.05.023},
	author = {Tosti, Rick and Ilyas, Asif M and Mellema, Jos J and Guitton, Thierry G and Ring, David}
}
