{"title":"Diagnostic Value of Imaging Modalities for Suspected Calcaneal Fracture:A Systematic Review of Literatures","authors":"F. Madadi, F. Madadi, A. Moghaddam","doi":"10.4172/2329-910X.1000186","DOIUrl":"https://doi.org/10.4172/2329-910X.1000186","url":null,"abstract":"Background: Calcaneal fracture account as the most common tarsal bones injury. Diagnosis of fracture is based on X-rays radiological studies, but CT-scan is the most reliable tool for diagnosis of calcaneus fracture. In this study, we conducted a systematic review, which will help readers to get a better view of usefulness of different imaging modality in diagnosis of calcaneal fracture. Methods: We conducted a systematic review based on PRISMA protocol. To find all citations, PubMed /Medline, ISI web of knowledge, EMBASE and Cochrane library databases were searched from their beginning to June 2015. Two authors, applying the inclusion and exclusion criteria, screened all citations and abstracts and extracted all needed information from included literatures, independently. In order to assess the quality of included studies, QUADAS was used. Results: Ten literatures included in this systematic review. Sensitivity of different conventional radiographs ranged from 0% for Foot posteroanterior to 100% for Foot reversed oblique and Combined Lateral and axial calcaneal X-ray. Specificity of conventional radiographs ranged from 72% for lateral calcaneal X-ray to 100% for Lateral foot or ankle radiograph. For the CT-scan, three-dimensional (3D) shaded radiographs had highest sensitivity (90.7%) and specificity (93.9%). Four studies tried to show value of angle’s measures in diagnosis of calcaneal fracture that had different results. Conclusions: We concluded that there are few literatures evaluating different imaging modality in diagnosis of calcaneal fracture and results are not enough to prove advantage of one modality to others. So, one study with a large population sample is needed to compare diagnostic value of different modalities.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"4 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anterolateral Ankle Pain: Comparison of Two Areas of Clinical AnterolateralPain Using Imaging and Arthroscopic Findings","authors":"K. Amaha, T. Nozaki, S. Ohde, A. Tasaki","doi":"10.4172/2329-910X.1000187","DOIUrl":"https://doi.org/10.4172/2329-910X.1000187","url":null,"abstract":"Background: Anterolateral ankle pain is a common symptom after ankle sprain in athletes. Although the \u0000pathologic conditions producing anterolateral ankle pain have been researched, we still do not know the exact relationship between structural abnormality and anterolateral ankle pain. The aim of this study was to assess two distinct areas of anterolateral ankle pain by comparing magnetic resonance imaging (MRI) and computed tomography (CT) findings with those of arthroscopic examination. \u0000Methods: From 2011 to 2014, a total of 32 ankles were examined. Preoperative physical findings, MRI and CT findings, and systematic arthroscopic examination were retrospectively reviewed. Abnormalities of two anterolateral ankle regions, the lateral shoulder and anterior talofibular ligament (ATFL), were recorded. \u0000Results: Tenderness over the lateral shoulder region was present in 20 patients (62.5%) and tenderness over the ATFL region was present in 17 patients (54.1%). CT abnormalities were found in 28 patients (87.5%). MRIabnormalities were found in 25 patients (78.1%). On arthroscopy, 32 patients (97.0%) showed abnormalities in the anterolateral area. Statistical analyses showed correlations between pathology on imaging and arthroscopic \u0000examinations, and clinical pain. In the lateral shoulder region, synovitis/scar tissue and accessory (Bassett’s) \u0000ligament correlated with clinical pain. In the ATFL region, an abnormal ATFL and osteochondrial lesions correlated \u0000with clinical pain. \u0000Conclusion: Various pathological findings were observed on arthroscopic examination. Although anterolateral \u0000impingent syndrome is considered to be due to soft tissue impingement, osteocartilaginous abnormalities were \u0000identified in these patients. Inadequate care resulting in scar tissue formation and the presence of microinstability \u0000are possibly etiologic factors associated with abnormal findings. In order to prevent these conditions, improvements \u0000in the initial treatment of ankle injuries is warranted.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"4 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supra Malleolar Osteotomies for Neglected Tibial Deformity Affecting theAnkle and Foot","authors":"Pasquale Cancelliere","doi":"10.4172/2329-910X.1000192","DOIUrl":"https://doi.org/10.4172/2329-910X.1000192","url":null,"abstract":"Ankle arthrosis continues to affect millions of people worldwide. Whereas it is not as common as hip and knee arthrosis in the aging population, it is more and more prevalent in the younger population. Also, it is not uncommon to see total destruction of the ankle joint in the neuropathic population. Whereas arthrosis of the knee and hip is mostly “wear and tear” type, the vast majority of ankle arthrosis is post traumatic. Because of this the likely hood of an underlying post traumatic deformity is high. Post Traumatic Deformity is often disabling particularly in the case of osteomyelitis treatment and open fractures with bone loss. This leads to a painful, non plantigrade, non functional limb. Consequently, the surgeon needs to perform complete and methodic pre-operative planning prior to performing any definitive reconstructive joint surgery. \u0000Ankle arthrodesis continues to be the standard of care for end stage ankle arthrosis. It is a tried and true procedure that provides the surgeon and patient, predictable union rates, low rate of complications and ultimately, gives acceptable AOFAS score, indicating a good post-surgical quality of life to the patient. However, arthrodesis is not without disadvantages. Over the last 10 years, however total ankle replacement (TAR), has become a growing and more widely accepted alternative to arthrodesis. New systems have improved instrumentation, shorter operating room time and fewer complications as well as improved functional outcomes. This procedure is also not without significant possible complications and disadvantages. Also, distraction ankle arthroplasty has shown to provide favorable short term and medium term favorable outcomes. \u0000However, regardless of the procedure selected by the surgeon and patient for the treatment of ankle arthritis, there is one principle that is ubiquitous but unfortunately often overlooked. This iatrogenic negligence leads to increased non-union rates, continued pain and ultimately loss of functionality of the limb. The authors of this paper have encountered several failed ankle arthrodeses and TAR’s because of this which required extensive revisional reconstructive surgery. Also, in the case of bony deformity, conservative measures such as braces, AFO’s will have disappointing results.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Atoun Ehud, Palmanovich Ezequiel, Feldbrin Zeev, Debi Ronen, G. Fridman, Nyska Meir
{"title":"Comparison of Hallux Valgus Deformity Evaluation on Printed Versus Digital X-Rays","authors":"Atoun Ehud, Palmanovich Ezequiel, Feldbrin Zeev, Debi Ronen, G. Fridman, Nyska Meir","doi":"10.4172/2329-910X.1000177","DOIUrl":"https://doi.org/10.4172/2329-910X.1000177","url":null,"abstract":"Background: Evaluation of hallux valgus deformity was traditionally made on a printed X-ray image. In the last two decades, digital X-ray systems have begun to replace the analog images, and images are not routinely printed anymore. Clinicians have to evaluate X-rays on digital images viewed on the computer monitors. This study compares the intra- and inter-observer reliability of foot deformity evaluation on printed images with measurements on computer monitors with the guidance of dedicated software. \u0000Methods: Fifteen pre-operative X-rays reports of patients who were candidates for a surgical correction of hallux valgus deformity, were evaluated by ten orthopedic surgeons. Each surgeon had two evaluation sessions on each modality, printed and computer monitor with the guidance of dedicated software. \u0000Results: We found that the hallux valgus deformity evaluations on computer monitors had significantly lower inter- and intra-observer variations than the evaluations performed on printed images. This study validates the use of digital X-ray measurements on computer monitors with the guidance of dedicated software. for evaluation of hallux valgus deformity. \u0000Conclusion: Clinician can use digital images with the guidance of dedicated software to evaluate for deformities without a need to print the images.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2016 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2015-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pieter van der Woude, S. Keizer, Rudolf E. van der Flier, B. J. Thomassen
{"title":"Outcome of a Modified Mitchell Osteotomy for Severe Hallux Valgus Deformity","authors":"Pieter van der Woude, S. Keizer, Rudolf E. van der Flier, B. J. Thomassen","doi":"10.4172/2329-910X.1000176","DOIUrl":"https://doi.org/10.4172/2329-910X.1000176","url":null,"abstract":"Background: The choice of procedure for severe hallux valgus deformity is still a matter of debate.Objective: This study presents the outcome of a distal osteotomy combined with a transarticular release in severe hallux valgusMethods: We reviewed the clinical and radiological results of 38 feet in 33 patients treated with a modified Mitchell osteotomy and a transarticular release for severe hallux valgus. After a median follow up of 36 months (IQR, 27-50 months) clinical outcome data were recorded with FAOS, SF-12, VAS-pain and -disability and AOFAS-HMI scores. Radiological data were collected by analysis of the preoperative and late postoperative weightbearing radiograph.Results: Mean achieved correction in IMA and HVA was respectively 7.1 (p<0.001 95% CI 6.02- 8.1) and 19.5 (p<0,001 16.8-22.8) degrees, which was statistically significant. Median AOFAS-HMI score was 92 (IQR, 83-100). Median total FAOS score was 89 (IQR, 75- 100), median VAS for pain was 3 (IQR, 1-24), median VAS for disability was 10 (IQR, 1-31). Most encountered complications were dorsiflexion restriction and metatarsalgia. Ninety-one percent would choose the same procedure given the outcome.Conclusion: Despite these complications, modified Mitchell osteotomy combined with a transarticular release yields a satisfying outcome after a median follow-up of 36 months in these patients with severe hallux valgus deformity.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2015-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Salvage of a Lesser Toe Osteomyelitis when Complicated by a Broken Screw: A Case Study","authors":"M. Mutani, J. Carter, C. Walker","doi":"10.4172/2329-910X.1000175","DOIUrl":"https://doi.org/10.4172/2329-910X.1000175","url":null,"abstract":"Orthopedic screw removal has proven itself to be a challenge. Access to a Screw Removal Set (TM Synthes) is essential. But what options are available when it cannot remove a broken screw in a lesser toe on a background of osteomyelitis of a lesser toe? A young healthy patient had undergone a 2nd and 3rd toe proximal interphalangeal joint (PIPJ) and distal interphalangeal joint (DIPJ) fusion using a cannulated dual threaded compression screw in 2006. She had had a successful fusion but eight years later, she developed osteomyelitis in the 2nd toe. An attempt was made to manage this conservatively with antibiotic therapy but a further flair up occurred following treatment. At surgery, the screw head broke while trying to remove it leaving just the smooth shaft of the screw, deep within the proximal phalanx. The Screw Removal Set was not useful and it was removed by making a gutter dorsally.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2016 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2015-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Taheri, F. Jafarian, E. Sadeghi-Demneh, F. Bahmani
{"title":"The effects of Foot Orthoses on Pain Management of People with Plantar Fasciitis","authors":"A. Taheri, F. Jafarian, E. Sadeghi-Demneh, F. Bahmani","doi":"10.4172/2329-910X.1000174","DOIUrl":"https://doi.org/10.4172/2329-910X.1000174","url":null,"abstract":"Introduction: Plantar fasciitis is the most common cause of plantar heel pain, accounting for almost 15% of all foot-related complaints. Arch supports and heel pads are the main foot orthotics to manage the heel pain. Despite the high prevalence of plantar fasciitis, information about the effectiveness of different orthoses is still scarce. This study was aimed to compare the effectiveness of using an arch support and a silicone heel pad in the pain management of people with plantar fasciitis. \u0000Methods: Forty subjects (mean ± SD age; 44.46 ± 9.7 years) with unilateral plantar fasciitis were recruited in this randomized clinical trial study. They randomly and equally allocated to the intervention groups (the soft arch support insole and silicone heel pad). The primary outcomes were pain and foot function. Outcomes were measured while participants were administrated prior to receiving the allocated intervention and after 6-week follow up period. In the admission and follow-up sessions, the heel pain was scored via visual analogue scale (VAS) and the foot function were measured by foot and ankle outcome score (FAOS) questionnaire. Data were analysed by Mann-Whitney test. \u0000Results: Foot orthoses significantly improved the foot function, reduce the heel pain (p<0.001). There was no significant difference between two orthoses in pain relief (p=0.094). The results indicated that both silicone heel pad and soft insole had successful outcomes in the management of plantar fasciitis over a 6-week period. \u0000Conclusion: The silicone heel pad and the soft insole with arch support are effective to reduce heel pain and improve the activity level in people with plantar fasciitis.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2015 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2015-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kok Ac, van Bergen Cj, Tuijthof Gjm, Klinkenbijl Mn, van Noorden Cjf, van Dijk Cn, G. Kerkhoffs
{"title":"Macroscopic ICRS Poorly Correlates with O Driscoll Histological CartilageRepair Assessment in a Goat Model","authors":"Kok Ac, van Bergen Cj, Tuijthof Gjm, Klinkenbijl Mn, van Noorden Cjf, van Dijk Cn, G. Kerkhoffs","doi":"10.4172/2329-910X.1000173","DOIUrl":"https://doi.org/10.4172/2329-910X.1000173","url":null,"abstract":"Background: The purpose of this research was to evaluate whether the macroscopic assessment of repair cartilage quality of talar osteochondral defects in a goat model using the ICRS score is in correspondence with histological assessment using the O’Driscoll histology score. \u0000Methods: 32 caprine samples with six mm osteochondral defects treated with microfracture were analyzed six months postoperatively using high-resolution digital images. Two observers independently scored the defects using the ICRS (0-12 points). Histological analysis was performed by one expert histologist using the O’Driscoll Score (0-24 points) on 5 μm slices stained with Masson Goldner and Safranin O. Total ICRS and O’Driscoll scores as well as sub items were compared using a Spearman correlation coefficient (p<0.05). \u0000Results: The median ICRS for Observer 1 and 2 were 6.5 (range: 4-11) and 6.5 (range: 3-11). The median O’Driscoll score was 11.5 (range: 3-20). The correlation of the total ICRS scores and the O’Driscoll score was not significant, nor was the correlation of sub items (p>0.05). \u0000Conclusion: This animal study suggests that isolated macroscopic ICRS assessment of cartilage repair tissue does not correlate well with histological assessment. Possible explanations may be limitations of surface assessment compared to analysis deeper into the tissue and the necessity of more elaborate macroscopic assessment including hypertrophy, colour, lesion size, location and degenerative status of the joint. Techniques that are more accurate, precise and reliable, such as histology, dGEMERIC and T2 mapping MRI, contrast enhanced CT or optical coherence tomography (OCT), should be considered as alternatives or at least as complimentary methods.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2015 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2015-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Incidence of Asymptomatic Onychomycosis in Diabetes Mellitus","authors":"Rathur Hm, A. Housley, Rajbhandari Sm","doi":"10.4172/2329-910X.1000172","DOIUrl":"https://doi.org/10.4172/2329-910X.1000172","url":null,"abstract":"In people with diabetes mellitus (DM), fungal infection is believed to occur more frequently. Toenail onychomycosis (TOM), a common type of fungal infection is asymptomatic in most cases. In order to study the incidence and prevalence of previously undiagnosed TOM in a population of subjects with DM attending for routine annual foot screening, nail plate and sub-ungual tissue samples were collected for microbiological analysis. Examining clinicians also made a graded visual diagnosis of onychomycosis at the same visit. Various blood samples markers of diabetes and its associated complications were also reviewed. 88 consecutive subjects with diabetes [mean age 78.4 (± SD 10.2) and duration 7.9 (± SD 8.1) years] were recruited to the study, and 29.5% had a positive (laboratory) diagnosis of TOM. There was no correlation with the incidence of TOM and duration of diabetes, other demographic data, or various biochemical parameters, but there was a trend for association of TOM to reduced sensation in healthy people with diabetes. Clinician were making more accurate (82%) diagnosis of TOM than that of healthy nail plate (53.8%) when compared with microbiological studies. As TOM is very common and the benefit of its treatment has not been confirmed, the value of routine laboratory screening for TOM as part of annual assessment of diabetes is not established. Our study shows that TOM is very common so further studies are needed to see if screening and treatment of TOM will prevent future secondary foot and leg infection in people with diabetes.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2015 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2015-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000172","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Hoeve, J. Vos, Phe Weijers, J. Verbruggen, P. Willems, M. Poeze, K. Meijer
{"title":"Repeatability of the Oxford Foot Model for Kinematic Gait Analysis of the Foot and Ankle.","authors":"S. Hoeve, J. Vos, Phe Weijers, J. Verbruggen, P. Willems, M. Poeze, K. Meijer","doi":"10.4172/2329-910X.1000171","DOIUrl":"https://doi.org/10.4172/2329-910X.1000171","url":null,"abstract":"INTRODUCTION\u0000Kinematic gait analysis via the multi-segmental Oxford foot model (OFM) may be a valuable addition to the biomechanical examination of the foot and ankle. The aim of this study is to assess the repeatability of the OFM in healthy subjects.\u0000\u0000\u0000METHODS\u0000Nine healthy subjects, without a history of lower extremity injury, were recruited. Markers were placed according to the OFM requirements. Motion capture was conducted using the VICON NEXUS system on two separate test days, with two tests on each day conducted by two independent examiners. The range of motion (ROM) of the following inter-segments was selected for further analysis: forefoot-hindfoot, forefoot-tibia and hindfoot-tibia in frontal, sagittal and transverse planes. Each step was divided in two parts, a loading phase (from heel strike to midstance) and a push-off phase (from midstance to toe-off). The Intraclass correlation coefficient (ICC), standard error of the measurements with 90% confidence bounds (SEM90) and the Minimal Differences needed to be considered real (MD) with 95% confidence interval were calculated for inter-observer and intra-observer and effect of trial using SPSS.\u0000\u0000\u0000RESULTS\u0000There was a linear correlation between the number of trials and the ICC's (r(2)=0.49, p<0.001), with six trial leading to good ICC's. Inter-observer repeatability: In the loading phase almost all ICC's were good or excellent (0.53-0.97) with only one parameter below 0.60. In the push-off phase two parameters scored moderate agreement, where the other 7 parameters had well to excellent agreement. The SEM90 values were varying from 0.85° to 2.49° in the loading phase and from 0.92° to 4.40° in the push-off phase. Intra-observer repeatability: In the loading phase all ICC's were good or excellent (0.71-0.97). In the push-off phase two parameters scored moderate agreement and the other 7 parameters had well to excellent agreement. The SEM90 ranged from 1.15° to 4.53° in the loading phase and in the push-off phase from 1.71° to 5.49°. The SEM90 values were varying from 0.85° to 2.49° in the loading phase and from 0.92° to 4.40° in the push-off phase. Intra-observer repeatability: In the loading phase all ICC's were good or excellent (0.71-0.97). In the push-off phase two parameters scored moderate agreement and the other 7 parameters had good to excellent agreement.\u0000\u0000\u0000CONCLUSION\u0000The repeatability analysis presented in this study provide excellent basis for objective measurement of the ankle and foot biomechanics. Results for inter-observer and intra-observer repeatability showed moderate to excellent ICC's and acceptable SEM90. Best result were found in the sagittal plane (flexion/extension) followed by the frontal plane (abduction/adduction) and the transverse plane (inversion/eversion).","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000171","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}