Intra and Inter-Observer Reliability and Repeatability of Metatarsus Adductus Angle in Recreational Football Players: A Concordance Study
Metatarsus adductus (MA) is a congenital foot deformity often unrecognized at birth. There is adduction of the metatarsals, supination of the subtalar joint, and plantarflexion of the first ray. The aims of this study were to assess the intra and inter-reader reliability of the radiographic MA measu...
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| Veröffentlicht in: | Journal of clinical medicine 2022-04, Vol.11 (7), p.2043 |
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| creator | Pérez Boal, Eduardo Martin-Villa, Carlos Becerro de Bengoa Vallejo, Ricardo Losa Iglesias, Marta Elena Trevissón Redondo, Bibiana Casado Hernández, Israel Calvo Lobo, César Rodríguez Sanz, David |
| description | Metatarsus adductus (MA) is a congenital foot deformity often unrecognized at birth. There is adduction of the metatarsals, supination of the subtalar joint, and plantarflexion of the first ray. The aims of this study were to assess the intra and inter-reader reliability of the radiographic MA measurement angles used in the literature. Methods: All consecutive recreational football players who practice activity more than 5 h/week over 21 years of age with MA by roentgenographic evaluation on weight-bearing dorsoplantar images were included in a cross-sectional study. Controls were matched to cases according to age and gender. We assess all radiographic measurements to evaluate metatarsus adductus with the different measurements frequently used in the literature: Sgarlato, modified Sgarlato, Rearfoot, Root, Engel, modified Engel, Kite, Kilmartin, modified Kilmartin, Simons, and Laaveg & Ponseti. Results: The variables measured in 80 weight-bearing dorsoplantar foot radiographs show excellent reliability ranging p > 0.900 in Sgarlato and modified Sgarlato with low SEM, CV, and MCD. Rearfoot, Root, Engel, modified Engel, Kite, Kilmartin, Simons, Laaveg & Ponseti, and modified Kilmartin’s angles showed intra or inter reliability with ICC lower than |
| doi_str_mv | 10.3390/jcm11072043 |
| format | Article |
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There is adduction of the metatarsals, supination of the subtalar joint, and plantarflexion of the first ray. The aims of this study were to assess the intra and inter-reader reliability of the radiographic MA measurement angles used in the literature. Methods: All consecutive recreational football players who practice activity more than 5 h/week over 21 years of age with MA by roentgenographic evaluation on weight-bearing dorsoplantar images were included in a cross-sectional study. Controls were matched to cases according to age and gender. We assess all radiographic measurements to evaluate metatarsus adductus with the different measurements frequently used in the literature: Sgarlato, modified Sgarlato, Rearfoot, Root, Engel, modified Engel, Kite, Kilmartin, modified Kilmartin, Simons, and Laaveg & Ponseti. Results: The variables measured in 80 weight-bearing dorsoplantar foot radiographs show excellent reliability ranging p > 0.900 in Sgarlato and modified Sgarlato with low SEM, CV, and MCD. Rearfoot, Root, Engel, modified Engel, Kite, Kilmartin, Simons, Laaveg & Ponseti, and modified Kilmartin’s angles showed intra or inter reliability with ICC lower than <0.900, systematic differences between intersession or inter observers, or high MCD value. Conclusion: It is more suitable to measure the MA angle with the Sgarlato and modified Sgarlato techniques to show higher reliability and repeatability for intra and inter-observer.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11072043</identifier><identifier>PMID: 35407651</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Clinical medicine ; Ethics ; Football ; Recreation ; X-rays</subject><ispartof>Journal of clinical medicine, 2022-04, Vol.11 (7), p.2043</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-9a2e8db3350ea7a624295d8f38b92c37720e47752e676e1cd185d2c8e05da6cf3</citedby><cites>FETCH-LOGICAL-c409t-9a2e8db3350ea7a624295d8f38b92c37720e47752e676e1cd185d2c8e05da6cf3</cites><orcidid>0000-0002-1242-3831 ; 0000-0002-8537-425X ; 0000-0001-8210-6789 ; 0000-0001-6136-2935 ; 0000-0002-6569-1311 ; 0000-0003-1568-7602 ; 0000-0001-7588-2069</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999690/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999690/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35407651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pérez Boal, Eduardo</creatorcontrib><creatorcontrib>Martin-Villa, Carlos</creatorcontrib><creatorcontrib>Becerro de Bengoa Vallejo, Ricardo</creatorcontrib><creatorcontrib>Losa Iglesias, Marta Elena</creatorcontrib><creatorcontrib>Trevissón Redondo, Bibiana</creatorcontrib><creatorcontrib>Casado Hernández, Israel</creatorcontrib><creatorcontrib>Calvo Lobo, César</creatorcontrib><creatorcontrib>Rodríguez Sanz, David</creatorcontrib><title>Intra and Inter-Observer Reliability and Repeatability of Metatarsus Adductus Angle in Recreational Football Players: A Concordance Study</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>Metatarsus adductus (MA) is a congenital foot deformity often unrecognized at birth. There is adduction of the metatarsals, supination of the subtalar joint, and plantarflexion of the first ray. The aims of this study were to assess the intra and inter-reader reliability of the radiographic MA measurement angles used in the literature. Methods: All consecutive recreational football players who practice activity more than 5 h/week over 21 years of age with MA by roentgenographic evaluation on weight-bearing dorsoplantar images were included in a cross-sectional study. Controls were matched to cases according to age and gender. We assess all radiographic measurements to evaluate metatarsus adductus with the different measurements frequently used in the literature: Sgarlato, modified Sgarlato, Rearfoot, Root, Engel, modified Engel, Kite, Kilmartin, modified Kilmartin, Simons, and Laaveg & Ponseti. Results: The variables measured in 80 weight-bearing dorsoplantar foot radiographs show excellent reliability ranging p > 0.900 in Sgarlato and modified Sgarlato with low SEM, CV, and MCD. Rearfoot, Root, Engel, modified Engel, Kite, Kilmartin, Simons, Laaveg & Ponseti, and modified Kilmartin’s angles showed intra or inter reliability with ICC lower than <0.900, systematic differences between intersession or inter observers, or high MCD value. Conclusion: It is more suitable to measure the MA angle with the Sgarlato and modified Sgarlato techniques to show higher reliability and repeatability for intra and inter-observer.</description><subject>Clinical medicine</subject><subject>Ethics</subject><subject>Football</subject><subject>Recreation</subject><subject>X-rays</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkV9rHCEUxaW0NCHNU9-L0JdCmdbRmVH7UFiWpg2kpKTJszh6J3VxdatOYD9CvnXc_GNbXzx6fxwu5yD0tiWfGJPk88qs25ZwSjr2Ah1SwnlDmGAv9_QBOs55ReoRoqMtf40OWN8RPvTtIbo9DSVprIPFVUFqzscM6QYSvgDv9Oi8K9v78QVsQJennzjhn1DqO-U544W1syk7Ea49YBcqbVLFXQza45MYy6i9x7-83kLKX_ACL2MwMVkdDODfZbbbN-jVpH2G48f7CF2dfLtc_mjOzr-fLhdnjemILI3UFIQdGesJaK4H2lHZWzExMUpqGK9RQMd5T2HgA7TGtqK31AggvdWDmdgR-vrgu5nHNVgDuwC82iS31mmronbq30lwf9R1vFFCSjlIUg0-PBqk-HeGXNTaZQPe6wBxzooOnewl6QSt6Pv_0FWcU43knhJyZykr9fGBMinmnGB6XqYlatey2mu50u_2939mnzpld70RpHQ</recordid><startdate>20220406</startdate><enddate>20220406</enddate><creator>Pérez Boal, Eduardo</creator><creator>Martin-Villa, Carlos</creator><creator>Becerro de Bengoa Vallejo, Ricardo</creator><creator>Losa Iglesias, Marta Elena</creator><creator>Trevissón Redondo, Bibiana</creator><creator>Casado Hernández, Israel</creator><creator>Calvo Lobo, César</creator><creator>Rodríguez Sanz, David</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1242-3831</orcidid><orcidid>https://orcid.org/0000-0002-8537-425X</orcidid><orcidid>https://orcid.org/0000-0001-8210-6789</orcidid><orcidid>https://orcid.org/0000-0001-6136-2935</orcidid><orcidid>https://orcid.org/0000-0002-6569-1311</orcidid><orcidid>https://orcid.org/0000-0003-1568-7602</orcidid><orcidid>https://orcid.org/0000-0001-7588-2069</orcidid></search><sort><creationdate>20220406</creationdate><title>Intra and Inter-Observer Reliability and Repeatability of Metatarsus Adductus Angle in Recreational Football Players: A Concordance Study</title><author>Pérez Boal, Eduardo ; Martin-Villa, Carlos ; Becerro de Bengoa Vallejo, Ricardo ; Losa Iglesias, Marta Elena ; Trevissón Redondo, Bibiana ; Casado Hernández, Israel ; Calvo Lobo, César ; Rodríguez Sanz, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-9a2e8db3350ea7a624295d8f38b92c37720e47752e676e1cd185d2c8e05da6cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Clinical medicine</topic><topic>Ethics</topic><topic>Football</topic><topic>Recreation</topic><topic>X-rays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pérez Boal, Eduardo</creatorcontrib><creatorcontrib>Martin-Villa, Carlos</creatorcontrib><creatorcontrib>Becerro de Bengoa Vallejo, Ricardo</creatorcontrib><creatorcontrib>Losa Iglesias, Marta Elena</creatorcontrib><creatorcontrib>Trevissón Redondo, Bibiana</creatorcontrib><creatorcontrib>Casado Hernández, Israel</creatorcontrib><creatorcontrib>Calvo Lobo, César</creatorcontrib><creatorcontrib>Rodríguez Sanz, David</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pérez Boal, Eduardo</au><au>Martin-Villa, Carlos</au><au>Becerro de Bengoa Vallejo, Ricardo</au><au>Losa Iglesias, Marta Elena</au><au>Trevissón Redondo, Bibiana</au><au>Casado Hernández, Israel</au><au>Calvo Lobo, César</au><au>Rodríguez Sanz, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intra and Inter-Observer Reliability and Repeatability of Metatarsus Adductus Angle in Recreational Football Players: A Concordance Study</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2022-04-06</date><risdate>2022</risdate><volume>11</volume><issue>7</issue><spage>2043</spage><pages>2043-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Metatarsus adductus (MA) is a congenital foot deformity often unrecognized at birth. There is adduction of the metatarsals, supination of the subtalar joint, and plantarflexion of the first ray. The aims of this study were to assess the intra and inter-reader reliability of the radiographic MA measurement angles used in the literature. Methods: All consecutive recreational football players who practice activity more than 5 h/week over 21 years of age with MA by roentgenographic evaluation on weight-bearing dorsoplantar images were included in a cross-sectional study. Controls were matched to cases according to age and gender. We assess all radiographic measurements to evaluate metatarsus adductus with the different measurements frequently used in the literature: Sgarlato, modified Sgarlato, Rearfoot, Root, Engel, modified Engel, Kite, Kilmartin, modified Kilmartin, Simons, and Laaveg & Ponseti. Results: The variables measured in 80 weight-bearing dorsoplantar foot radiographs show excellent reliability ranging p > 0.900 in Sgarlato and modified Sgarlato with low SEM, CV, and MCD. Rearfoot, Root, Engel, modified Engel, Kite, Kilmartin, Simons, Laaveg & Ponseti, and modified Kilmartin’s angles showed intra or inter reliability with ICC lower than <0.900, systematic differences between intersession or inter observers, or high MCD value. 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| subjects | Clinical medicine Ethics Football Recreation X-rays |
| title | Intra and Inter-Observer Reliability and Repeatability of Metatarsus Adductus Angle in Recreational Football Players: A Concordance Study |
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