TY - JOUR
T1 - Hallux Valgus Evaluation on MRI
T2 - Can Measurements Validated on Radiographs Be Used?
AU - Heineman, Nathan
AU - Xi, Yin
AU - Zhang, Lihua
AU - Dessouky, Riham
AU - Hummel, Jed
AU - Skweres, Justin
AU - Wukich, Dane
AU - Chhabra, Avneesh
N1 - Publisher Copyright:
© 2017 The American College of Foot and Ankle Surgeons
PY - 2018/3
Y1 - 2018/3
N2 - Hallux valgus (HV) is a common deformity of the great toe affecting >23% of adults in the United States. The severity of the deformity is traditionally analyzed using radiographs to determine measurements such as the HV and intermetatarsal angles. We sought to determine the relationship between the radiographic and magnetic resonance imaging (MRI) measurements because this is not yet known. Two of us analyzed a series of 56 consecutive patients who had had radiographs and MRI performed on the same foot between April 27, 2015 and March 9, 2016 and who satisfied all other inclusion and exclusion criteria (age 18 to 100 years, no history of recent foot trauma, and no metal hardware in the foot). We found excellent interreader reliability (intraclass correlation 0.89 to 0.96) and intermodality agreement (intraclass correlation 0.83 to 0.91). The HV angle measured 15.0° ± 8.8° on the MRI scans and 13.8° ± 8.7° on the radiographs (mean difference −1.15° ± 3.89°), and the intermetatarsal angle was 9.0° ± 3.1° on the MRI scans and 8.8° ± 2.9° on the radiographs (mean difference −0.22° ± 2.10°). The HV measurements were reliable on both radiographs and MRI for the range of values tested. Small intermodality statistically significant differences in HV angle measurements were found; however, these might not be enough to be clinically significant.
AB - Hallux valgus (HV) is a common deformity of the great toe affecting >23% of adults in the United States. The severity of the deformity is traditionally analyzed using radiographs to determine measurements such as the HV and intermetatarsal angles. We sought to determine the relationship between the radiographic and magnetic resonance imaging (MRI) measurements because this is not yet known. Two of us analyzed a series of 56 consecutive patients who had had radiographs and MRI performed on the same foot between April 27, 2015 and March 9, 2016 and who satisfied all other inclusion and exclusion criteria (age 18 to 100 years, no history of recent foot trauma, and no metal hardware in the foot). We found excellent interreader reliability (intraclass correlation 0.89 to 0.96) and intermodality agreement (intraclass correlation 0.83 to 0.91). The HV angle measured 15.0° ± 8.8° on the MRI scans and 13.8° ± 8.7° on the radiographs (mean difference −1.15° ± 3.89°), and the intermetatarsal angle was 9.0° ± 3.1° on the MRI scans and 8.8° ± 2.9° on the radiographs (mean difference −0.22° ± 2.10°). The HV measurements were reliable on both radiographs and MRI for the range of values tested. Small intermodality statistically significant differences in HV angle measurements were found; however, these might not be enough to be clinically significant.
KW - bunion
KW - hallux valgus angle
KW - intermetatarsal angle
KW - magnetic resonance image
KW - radiograph
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U2 - 10.1053/j.jfas.2017.10.009
DO - 10.1053/j.jfas.2017.10.009
M3 - Article
C2 - 29331288
AN - SCOPUS:85040336738
SN - 1067-2516
VL - 57
SP - 305
EP - 308
JO - Journal of Foot and Ankle Surgery
JF - Journal of Foot and Ankle Surgery
IS - 2
ER -