CME OnDemand: 2022 AOFAS Annual Meeting-Does the Radiographic Lateral View of the Lesser Toe Matter in a Trauma? A Retrospective Analyses of 378 Radiographs

Does the Radiographic Lateral View of the Lesser Toe Matter in a Trauma? A Retrospective Analyses of 378 Radiographs

Pdf Summary

This study aimed to determine if adding a lateral view to radiographs of the lesser toes would improve the diagnosis of toe injuries in trauma cases. The study included 378 radiographs from 126 patients seen in the emergency care unit of a single hospital. Four examiners evaluated the radiographs, and two evaluation forms were used for injuries. The inter-examiner concordance was measured using the Kappa index, with values above 0.600 considered good concordance. The results showed that the addition of the lateral view increased the number of diagnosed injuries by 84.7%. However, the inter-observer concordance for the lateral view was not as high as for the standard view. The average age of patients was 37.2 years, with a range of 4 to 85 years. The study acknowledged methodological flaws, such as the lack of a gold standard test like a CT scan. Despite these limitations, the study concluded that adding a lateral view to radiographs improved the diagnosis of toe injuries in trauma cases, especially for the foot and ankle surgeon with five years of experience.

Asset Subtitle

Danilo P. Kitaki, João Paulo P. Gonçalves

Keywords

lateral view

radiographs

toe injuries

trauma cases

inter-examiner concordance

diagnosed injuries

inter-observer concordance

methodological flaws

gold standard test

foot and ankle surgeon