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The Journal of Bone & Joint Surgery British Volume
Vol. 70-B, Issue 4 | Pages 588 - 590
1 Aug 1988
Frandsen P Andersen E Madsen F Skjodt T

Radiographs of 100 randomly chosen femoral neck fractures were assessed by eight observers using Garden's classification. The radiographs were classified identically by all eight in only 22 cases. Another 45 cases were classified by some observers as undisplaced fractures (Stages 1 and 2) and by others as displaced fractures (Stages 3 and 4). Between the different observers the number of displaced fractures varied from 63 to 89. These results show that observers had a relatively poor ability to delineate the various stages of Garden's classification.