Louis Dagneaux1, Paul Moroney2, Michel Maestro2. 1. Department of Orthopaedic Surgery, Lower limb Surgery Unit, Lapeyronie University Hospital, 351 av. Gaston Giraud, 34295 Montpellier Cedex 05, France. Electronic address: louisdagneaux@gmail.com. 2. Institut Monégasque de Médecine et Chirurgie Sportive (IM2S), 11, Avenue d'Ostende, 98000, Monaco.
Abstract
BACKGROUND: Few methods have been described for measuring hindfoot alignment from an anteroposterior view. The objective of this study was to compare two methods of angular measurement based on the views of Meary and Saltzman. METHODS: Thirty asymptomatic volunteers were included. Four radiographs were performed: the views of Meary and Saltzman with parallel feet and with the Fick correction. The reproducibility was determined by the inter- and intraobserver variability (ICC). RESULTS: Meary's method revealed a mean valgus angulation of 3.9° (SD 3.47°). The reliability was extremely variable with a mean ICC of 0.59. The best reproducibility was obtained with Meary's method with and without Fick correction. CONCLUSION: The results of this study show that the reliability of the angular measurements depends on the radiographic view and measurement method chosen. The lateral Fick correction did not counteract the influence of tibial rotation. The same method should be used consistently.
BACKGROUND: Few methods have been described for measuring hindfoot alignment from an anteroposterior view. The objective of this study was to compare two methods of angular measurement based on the views of Meary and Saltzman. METHODS: Thirty asymptomatic volunteers were included. Four radiographs were performed: the views of Meary and Saltzman with parallel feet and with the Fick correction. The reproducibility was determined by the inter- and intraobserver variability (ICC). RESULTS: Meary's method revealed a mean valgus angulation of 3.9° (SD 3.47°). The reliability was extremely variable with a mean ICC of 0.59. The best reproducibility was obtained with Meary's method with and without Fick correction. CONCLUSION: The results of this study show that the reliability of the angular measurements depends on the radiographic view and measurement method chosen. The lateral Fick correction did not counteract the influence of tibial rotation. The same method should be used consistently.
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