Atlas of radiographic features of osteoarthritis of the ankle and hindfoot

V. B. Kraus, T. M. Kilfoil, T. W. Hash, G. McDaniel, J. B. Renner, J. A. Carrino, S. Adams

Research output: Contribution to journalArticle

Abstract

Objective: To develop a radiographic atlas of osteoarthritis (OA) for use as a template and guide for standardized scoring of radiographic features of OA of the ankle and hindfoot joints. Method: Under Institutional Review Board approval, ankle and hindfoot images were selected from a cohort study and from among cases that underwent ankle radiography during a 6-month period at Duke University Medical Center. Missing OA pathology was obtained through supplementation of cases with the assistance of a foot and ankle specialist in Orthopaedic surgery and a musculoskeletal radiologist. Images were obtained and reviewed without patient identifying information. Images went through multiple rounds of review and final images were selected by consensus of the study team. For intra-rater and inter-rater reliability, the kappa statistic was calculated for two readings by three musculoskeletal radiologists, a minimum of two weeks apart, of ankle and hindfoot radiographs from 30 anonymized subjects. Results: The atlas demonstrates individual radiographic features (osteophyte and joint space narrowing (JSN)) and Kellgren-Lawrence grade for all aspects of the talocrural (ankle joint proper) and talocalcaneal (subtalar) joints. Reliability of scoring based on the atlas was quite good to excellent for most features indicated. Additional examples of ankle joint findings are illustrated including sclerosis, os trigonum, subchondral cysts and talar tilt. Conclusions: It is anticipated that this atlas will assist with standardization of scoring of ankle and hindfoot OA by basic and clinical OA researchers.

Original languageEnglish (US)
Pages (from-to)2059-2085
Number of pages27
JournalOsteoarthritis and Cartilage
Volume23
Issue number12
DOIs
StatePublished - Dec 1 2015
Externally publishedYes

Fingerprint

Atlases
Ankle
Osteoarthritis
Ankle Joint
Radiography
Subtalar Joint
Orthopedics
Pathology
Surgery
Standardization
Statistics
Bone Cysts
Osteophyte
Talus
Research Ethics Committees
Sclerosis
Foot
Reading
Cohort Studies
Joints

Keywords

  • Ankle
  • Atlas
  • Hindfoot
  • Osteoarthritis
  • Radiograph
  • Subtalar

ASJC Scopus subject areas

  • Biomedical Engineering
  • Orthopedics and Sports Medicine
  • Rheumatology

Cite this

Kraus, V. B., Kilfoil, T. M., Hash, T. W., McDaniel, G., Renner, J. B., Carrino, J. A., & Adams, S. (2015). Atlas of radiographic features of osteoarthritis of the ankle and hindfoot. Osteoarthritis and Cartilage, 23(12), 2059-2085. https://doi.org/10.1016/j.joca.2015.08.008

Atlas of radiographic features of osteoarthritis of the ankle and hindfoot. / Kraus, V. B.; Kilfoil, T. M.; Hash, T. W.; McDaniel, G.; Renner, J. B.; Carrino, J. A.; Adams, S.

In: Osteoarthritis and Cartilage, Vol. 23, No. 12, 01.12.2015, p. 2059-2085.

Research output: Contribution to journalArticle

Kraus, VB, Kilfoil, TM, Hash, TW, McDaniel, G, Renner, JB, Carrino, JA & Adams, S 2015, 'Atlas of radiographic features of osteoarthritis of the ankle and hindfoot', Osteoarthritis and Cartilage, vol. 23, no. 12, pp. 2059-2085. https://doi.org/10.1016/j.joca.2015.08.008
Kraus VB, Kilfoil TM, Hash TW, McDaniel G, Renner JB, Carrino JA et al. Atlas of radiographic features of osteoarthritis of the ankle and hindfoot. Osteoarthritis and Cartilage. 2015 Dec 1;23(12):2059-2085. https://doi.org/10.1016/j.joca.2015.08.008
Kraus, V. B. ; Kilfoil, T. M. ; Hash, T. W. ; McDaniel, G. ; Renner, J. B. ; Carrino, J. A. ; Adams, S. / Atlas of radiographic features of osteoarthritis of the ankle and hindfoot. In: Osteoarthritis and Cartilage. 2015 ; Vol. 23, No. 12. pp. 2059-2085.
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