Pediatric Radiology

, Volume 48, Issue 7, pp 1038–1039 | Cite as



Systematic assessment of the growth plates of the wrist in young gymnasts: development and validation of the Amsterdam MRI assessment of the Physis (AMPHYS) protocol

Kox LS, Kraan RB, van Dijke CF et al

BMJ Open Sport Exerc Med (2018)

This study describes the development and validation of a protocol for MRI assessment of the distal radial and ulnar periphyseal area in gymnasts and non-gymnasts. Three musculoskeletal radiologists established a checklist of 27 (peri)physeal abnormalities based on literature and clinical experience and five other musculoskeletal radiologists and residents evaluated 30 MRI scans of the wrists of young gymnasts and non-gymnasts using this checklist. The authors determined reliability using the intraclass correlation coefficient (ICC) and Fleiss’ kappa and found good-to-excellent inter-rater and intra-rater agreement (respective ICCs 0.60–0.91 and 0.60–0.78) for seven characteristics and fair-to-excellent agreement...

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Personalised recommendations