@phdthesis{oai:nagoya.repo.nii.ac.jp:00013038,
 author = {Shin, Masaki and Tatebe, Masahiro and Hirata, Hitoshi and Koh, Shukuki and Shinohara, Takaaki},
 month = {},
 note = {Purpose: The objective of this research was to investigate the reliability of Lichtman's classification for Kienböck's disease.  Methods: Interobserver reliability and intraobserver reproducibility were investigated by interpreting both anteroposterior and lateral X-rays of the wrist joint twice in 99 patients with Kienböck's disease using the modified Lichtman's classification system. Observers comprised three orthopaedic surgeons, and no information was exchanged between observers either before or during the study.  Results: Intraobserver reliability was moderate (0.313–0.628), and interobserver reliability was fair (Siegel's kappa = 0.228).  Conclusion: Low values were obtained regarding interobserver reliability for the modified Lichtman's classification of Kienböck's disease. This classification is thus inadequate for use in clinical settings. A new classification should be established., 名古屋大学博士学位論文 学位の種類 : 博士(医学)(課程) 学位授与年月日:平成23年3月31日 申正樹氏の博士論文として提出された},
 school = {名古屋大学, NAGOYA University},
 title = {Reliability of Lichtman’s classification for Kienböck’s disease in 99 subjects},
 year = {2011}
}