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-
1
Davies H. Metatarsus quintus valgus. Br Med J 1: 664, 1949.
-
2
Roukis TS. The tailor's bunionette deformity: a field guide to surgical correction. Clin Podiatr Med Surg 22: 223, 2005.
-
3
Ajis A. Koti M. Maffulli N. Tailor's bunion: a review. J Foot Ankle Surg 44: 236, 2005.
-
4
DiDomenico L. Baze E. Gatalyak N. Revisiting the tailor's bunion and adductovarus deformity of the fifth digit. Clin Podiatr Med Surg 30: 397, 2013.
-
5
Coughlin MJ. Saltzman CL. Anderson RB. Mann's Surgery of the Foot and Ankle, 9th Ed, Elsevier, St. Louis, 2014.
-
6
Fallat LM. Buckholz J. An analysis of the tailor's bunion by radiographic and anatomical display. JAPA 70: 597, 1980.
-
7
Steel MW III, Johnson KA. DeWitz MA. et al: Radiographic measurements of the normal adult foot. Foot Ankle 1: 151, 1980.
-
8
Coughlin MJ. Treatment of bunionette deformity with longitudinal diaphyseal osteotomy with distal soft tissue repair. Foot Ankle 11: 195, 1991.
-
9
Baron RL. Strugielski CF. Christman RA. “Positioning Techniques & Terminology,” in Foot and Ankle Radiology, 2nd Ed, edited by RA Christman, Lippincott Williams & Wilkins, Philadelphia, 2015.
-
10
ImageJ: Image Processing and Analysis in Java. Available at: http://imagej.nih.gov/ij/. Accessed March 27, 2018.
Reproducibility and Reliability of the Radiographic Angles Used to Assess Tailor's Bunions
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Background:
Tailor's bunion, or bunionette, deformity is a common condition of the lateral forefoot. To aid in assessing the deformity, radiographic angular measurements are frequently used. The objective of this study was to determine the reliability and reproducibility of these angular measurements.
Methods:
Thirty unique weightbearing dorsoplantar digital radiographs of pathologic feet were compiled. For these 30 radiographs and for ten repeated radiographs, six practicing clinicians measured the following angles: the fourth to fifth intermetatarsal angle, the lateral deviation angle, and the fifth metatarsophalangeal angle. Both traditional and modified versions of the fourth to fifth intermetatarsal angle were included.
Results:
Intraclass correlation coefficient values were calculated for each of the angles studied. Intrarater reliability was highest for the fifth metatarsophalangeal angle and lowest for the lateral deviation angle. Intrarater reliability was higher for the traditional fourth to fifth intermetatarsal angle than for the modified version. The interrater reliability calculations revealed parallel findings.
Conclusions:
Accurate assessment is critical when planning for surgical intervention. Awareness of the relative reliability of these radiographic angular measurements can aid in preoperative planning and may be of benefit in procedure selection.
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