Development of a Reliable Grading System for the Radiographic Analysis of the Subtalar Joint:

Foot & Ankle Orthopaedics

DavidVier¹ 

关键词: Subtalar Joint;    Osteoarthritis;    Arthrosis;    Radiographic Classification;    Arthritis;   

DOI  :  10.1177/2473011418S00126

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:HindfootIntroduction/Purpose:Subtalar arthritis is frequently diagnosed in the clinical setting by correlating patients’ presenting signs and symptoms with weightbearing radiographs. Due to the naturally undulating surface of the subtalar joint and frequent concomitant hindfoot deformity, radiographic assessment of the severity of subtalar arthrosis can be difficult. The Kellgren-Lawrence (KL) scale for arthritis was not designed for such a unique joint and has not been validated for generalization at the subtalar joint. Previous studies have shown poor interobserver and intraobserver reliability of this grading system in patients with post-traumatic subtalar arthritis and following total ankle replacement. The authors hypothesized this scale would not be reliable for classifying the severity of subtalar arthrosis and sought to establish a novel scoring system with high interobserver reliability and clinical relevance.Methods:A collection of 40 lateral weightbearing ankle radiographs were reviewe...

【 授权许可】

CC BY