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. 2021 Mar 6;7(3):448–457. doi: 10.1093/jhps/hnaa064

Table VI.

Intraobserver reliability of Outerbridge classification for acetabular articular cartilage and femoral head chondral defects, and ALAD and Beck transition zone chondral injury rated by zone and the most severe rating noted

Presence of cartilage defect
Rating of cartilage defect
Variable AC1 Simple kappa Proportion agreement AC2 Weighted kappa Weighted proportion agreement
Outerbridge classification of acetabular articular chondral defect
 Zone A 0.926 (0.063) −0.07 (0.042) 0.931 (0.058) 0.926 (0.063) −0.07 (0.042) 0.931 (0.058)
 Zone B N/A N/A 1 (0.034) N/A N/A 1 (0.034)
 Zone C N/A N/A 1 (0.034) N/A N/A 1 (0.034)
 Zone D N/A N/A 1 (0.034) N/A N/A 1 (0.034)
 Zone E N/A N/A 1 (0.034) N/A N/A 1 (0.034)
 Most severe 0.926 (0.063) −0.070 (0.042) 0.931 (0.058)
Outerbridge classification of femoral chondral defect
 Zone A (anterior) N/A N/A 1 (0) N/A N/A 1 (0)
 Zone B (superior) N/A N/A 1 (0) N/A N/A 1 (0)
 Zone C (anterior) N/A N/A 1 (0) N/A N/A 1 (0)
 Zone D (anterior) N/A N/A 1 (0) N/A N/A 1 (0)
 Zone E (anterior) N/A N/A 1 (0) N/A N/A 1 (0)
 Worst N/A N/A 1 (0)
ALAD classification of transition zone cartilage lesions
 Zone A N/A N/A 1 (0.034) N/A N/A 1 (0.034)
 Zone B N/A N/A 1 (0.034) N/A N/A 1 (0.034)
 Zone C N/A N/A 1 (0.034) 0.545 (0.115) 0.313 (0.149) 0.805 (0.051)
 Zone D N/A N/A 1 (0.034) 0.695 (0.083) 0.470 (0.130) 0.862 (0.043)
 Zone E N/A N/A 1 (0.034) N/A N/A 1 (0.034)
 Most severe 0.695 (0.083) 0.470 (0.130) 0.862 (0.043)
Beck classification of transition zone cartilage lesions
 Transition zone A N/A N/A 1 (0) N/A N/A 1 (0)
 Transition zone B N/A N/A 1 (0) N/A N/A 1 (0)
 Transition zone C 0.890 (0.068) −0.053 (0.031) 0.900 (0.056) 0.619 (0.120) 0.373 (0.160) 0.850 (0.043)
 Transition zone D N/A N/A 1 (0) 0.647 (0.128) 0.532 (0.149) 0.844 (0.050)
 Transition zone E N/A N/A 1 (0) N/A N/A 1 (0)
 Most severe 0.679 (0.126) 0.566 (0.146) 0.856 (0.050)

Gwet’s AC and Fleiss’ kappa analysis. Agreement measures are shown as point estimate (standard error).