Inter-observer and intra-observer reliability in the radiographic measurements of paediatric forefoot alignment.

Autor: Jasiewicz B; Jagiellonian University, Faculty of Medicine, Department of Orthopaedics and Rehabilitation, Balzera 15, 34-500 Zakopane, Poland. Electronic address: basiajasiewicz@gmail.com., Pietraszek J; Cracow University of Technology, Faculty of Mechanical Engineering, Institute of Applied Informatics, al. Jana Pawla II 37, 31-864 Krakow, Poland. Electronic address: jacek.pietraszek@mech.pk.edu.pl., Duda S; Jagiellonian University, Faculty of Medicine, Department of Orthopaedics and Rehabilitation, Balzera 15, 34-500 Zakopane, Poland. Electronic address: slawomir.duda@gmail.com., Pietrzak S; Department of Orthopaedics, Paediatric Orthopaedics and Traumatology, Centre of Postgraduate Medical Education in Warsaw, Gruca Orthopaedic Hospital, Ks. Stanislawa Konarskiego 13, 05-400 Otwock, Poland. Electronic address: szymon-pietrzak@o2.pl., Pruszczyński B; Department of Orthopaedics and Paediatric Orthopaedics, Medical University of Lodz, 251 Pomorska str, 92-213 Lodz, Poland. Electronic address: bpruszcz@pruszczynski.com.pl., Parol T; Department of Orthopaedics, Paediatric Orthopaedics and Traumatology, Centre of Postgraduate Medical Education in Warsaw, Gruca Orthopaedic Hospital, Ks. Stanislawa Konarskiego 13, 05-400 Otwock, Poland. Electronic address: tparol@gmail.com., Potaczek T; Jagiellonian University, Faculty of Medicine, Department of Orthopaedics and Rehabilitation, Balzera 15, 34-500 Zakopane, Poland. Electronic address: tomaszpotaczek@gmail.com., Gądek-Moszczak A; Cracow University of Technology, Faculty of Mechanical Engineering, Institute of Applied Informatics, al. Jana Pawla II 37, 31-864 Krakow, Poland. Electronic address: aneta.moszczak@gmail.com.
Jazyk: angličtina
Zdroj: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2021 Jun; Vol. 27 (4), pp. 371-376. Date of Electronic Publication: 2020 May 12.
DOI: 10.1016/j.fas.2020.04.015
Abstrakt: Background: Foot bones in children have more rounded shapes in radiograms than adults. Thus, the goal of this work was assessing inter- and intra-observer reliability in paediatric forefoot angle measurements.
Material and Methods: Six forefoot angles in 34 AP standing paediatric foot radiographs were measured by 5 researchers. A classic statistical analysis with use of IBM SPSS Statistics 25 was performed and a new method with two-way analysis of variance was applied.
Results: Results of statistical analysis revealed the properties of a subjective assessment related to specific angles. Kilmartin's angle, calcaneus-fifth metatarsal angle and first ray angle are the most reliable; metatarsus adductus angle should be used with great caution in pediatric population. Engel's angle is the most difficult for measuring and measurement error is the highest.
Conclusion: The power of paediatric forefoot measurements is various. Several angles are reliable, while Engle's angle is the most doubtful.
(Copyright © 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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