Inter- and intraobserver reliability of non-weight-bearing foot radiographs compared with CT in Lisfranc injuries.

Archives of Orthopaedic and Trauma Surgery
Ville T PonkilainenHeidi H Haapasalo

Abstract

Injury of the tarsometatarsal (TMT) joint complex, known as Lisfranc injury, covers a wide range of injuries from subtle ligamentous injuries to severely displaced crush injuries. Although it is known that these injuries are commonly missed, the literature on the accuracy of the diagnostics is limited. The diagnostic accuracy of non-weight-bearing radiography (inter- or intraobserver reliability), however, has not previously been assessed among patients with Lisfranc injury. One hundred sets of foot radiographs acquired due to acute foot injury were collected and anonymised. The diagnosis of these patients was confirmed with a CT scan. In one-third of the radiographs, there was no Lisfranc injury; in one-third, a nondisplaced (< 2 mm) injury; and in one-third, a displaced injury. The radiographs were assessed independently by three senior orthopaedic surgeons and three orthopaedic surgery residents. Fleiss kappa (κ) coefficient for interobserver reliability resulted in moderate correlation κ = 0.50 (95% CI: 0.45- 0.55) (first evaluation) and κ = 0.58 (95% CI: 0.52-0.63) (second evaluation). After three months, the evaluation was repeated and the Cohen's kappa (κ) coefficient for intraobserver reliability showed substantial corr...Continue Reading

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Citations

Sep 23, 2020·Archives of Orthopaedic and Trauma Surgery·Ville T PonkilainenHeidi H Haapasalo
Apr 10, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Are H StødleElisabeth Ellingsen Husebye
Jul 11, 2021·Archives of Orthopaedic and Trauma Surgery·Jun Young ChoiJin Soo Suh
Oct 3, 2021·Archives of Orthopaedic and Trauma Surgery·Dong Woo ShimSeung-Yong Sung

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