Validity and Reliability of a New Radiological Method to Estimate Medial Column Internal Rotation in Hallux Valgus Using Foot Weight-Bearing X-Ray

Journal
Foot & Ankle Specialist
ISSN
1938-6400
1938-7636
Date Issued
2021
Author(s)
Nicole Lescure
Noman Siddiqui
Jessica Fink
Type
Resource Types::text::journal::journal article
Scopus ID
2-s2.0-85109817417
WoS ID
WOS:001179552300006
DOI
URL
URL Institutional Repository
Abstract
<jats:sec><jats:title>Background</jats:title><jats:p> Medial column internal rotation in hallux valgus (HV) can be measured using weight-bearing computed tomography (WBCT). Anteroposterior weight-bearing foot radiographs’ (WBXR) ability to estimate medial column internal rotation in HV was evaluated comparing these measurements with those obtained from WBCT. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Three observers evaluated WBCT and WBXR of 33 HV feet twice. Medial column internal rotation was measured with WBCT and classified into 3 levels according to WBXR findings. Intra- and interobserver reliability were obtained for WBXR and WBCT, in addition to WBXR-WBCT correlation. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> WBXR and WBCT intraobserver agreement was substantial and near perfect, respectively (κ 0.79 and 0.84). Their interobserver agreement was excellent (intraclass correlation 0.85 and 0.9, respectively). The WBXR-WBCT correlation was substantial (κ 0.68). WBXR diagnostic accuracy to predict the WBCT results was 85%. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> The proposed method for medial column internal rotation measurement using WBXR is reliable and has a substantial agreement with WBCT measurements. </jats:p></jats:sec><jats:sec><jats:title>Levels of Evidence</jats:title><jats:p> Level III </jats:p></jats:sec>
Cite this document
Wagner, P., Lescure, N., Siddiqui, N., Fink, J., & Wagner, E. (2024). Validity and reliability of a new radiological method to estimate medial column internal rotation in hallux valgus using foot weight-bearing x-ray. Foot & Ankle Specialist, 17(1), 14-22. https://doi.org/10.1177/19386400211029162
Subjects
hallux valgus

; 

medial column pronation

; 

pronation classification

; 

bunion

; 

deformity

; 

weight-bearing ap view x-ray

; 

weight-bearing computer tomography

; 

bunion

; 

hallux valgus

; 

humans

; 

metatarsal bones

; 

reproducibility of results

; 

retrospective studies

; 

weight-bearing

; 

x-rays

; 

diagnostic imaging

; 

hallux valgus

; 

human

; 

metatarsal bone

; 

reproducibility

; 

retrospective study

; 

weight bearing

; 

x ray