Interobserver Analysis of Standard Foot and Ankle Radiographic Angles.
Publication/Presentation Date
11-1-2019
Abstract
Standard foot and ankle radiographs have long been studied and averages formulated in an attempt to provide a common framework for understanding the relationships of the foot and ankle, not only for surgical planning but also to determine normal versus abnormal relationships. The authors describe 8 angles measured on 100 patients by up to 18 observers (4 attending physicians, 12 residents, and 2 students). This study validates the previously documented normal angles using a significantly larger observer group as well as a greater number of analyzed angles. Additionally, this study reveals the tibio-second metatarsal angle on the calcaneal axial view is not a reliable radiographic angle for evaluation of foot and ankle deformity. Intraclass correlation coefficients were also analyzed, which displayed variability in measurements based on level of training, with residents being the most accurate, followed by attending physicians and then students. Foot and ankle radiographs are essential for surgical planning, and understanding normal versus abnormal is key before any surgical planning can be accurately performed.
Volume
58
Issue
6
First Page
1085
Last Page
1090
ISSN
1542-2224
Published In/Presented At
Gibboney, M. D., LaPorta, G. A., & Dreyer, M. A. (2019). Interobserver Analysis of Standard Foot and Ankle Radiographic Angles. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, 58(6), 1085–1090. https://doi.org/10.1053/j.jfas.2018.12.037
Disciplines
Medicine and Health Sciences
PubMedID
31526713
Department(s)
Department of Surgery
Document Type
Article