Topographic Pain Mapping versus Radiological Inter-observer Variation in Ankle Arthritis:

Foot & Ankle Orthopaedics

FionaAshton¹ 

关键词: Topographical Pain mapping;    Ankle Arthritis;    Radiology;   

DOI  :  10.1177/2473011417S000100

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, Ankle ArthritisIntroduction/Purpose:Topographic pain mapping has gained popularity during 20th century, providing opportunities for patients to demonstrate spatial distribution of pain. Despite this, evidence of clinical application in orthopaedics remains largely limited to spinal pathologies. We investigate how clinician interpretation of routine radiological studies compares to patient pain mapping in ankle arthritis.Methods:Between 2014 and 2016 we identified 21 patients ultimately diagnosed with ankle arthritis, who underwent comprehensive gait analysis (including topographic pain mapping) on referral to our institution. Patients were requested to map up to three pain areas, assigning a visual analogue score (VAS) of 0-10, to signify severity of pain in each area.A consultant orthopaedic foot and ankle surgeon, and orthopaedic trainees undertook blinded evaluation of relevant radiological studies, estimating patients’ mapping and VAS scores on the basis of radiological pathology.For t...

【 授权许可】

CC BY