This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lamm, B. M. Articles by Hillstrom, H. J. Search for Related Content PubMed PubMed Citation Articles by Lamm, B. M. Articles by Hillstrom, H. J.

Static Rearfoot Alignment

A Comparison of Clinical and Radiographic Measures

Bradley M. Lamm, DPM ^*, Robert W. Mendicino, DPM ^*, Alan R. Catanzariti, DPM ^* and Howard J. Hillstrom, PhD 

^* Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh. Dr. Lamm is now at the Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD.
Department of Orthopedics, Temple University School of Podiatric Medicine, Philadelphia.

Corresponding author: Bradley M. Lamm, DPM, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 W Belvedere Ave, Baltimore, MD 21215.

Abstract

Foot structure is typically evaluated using static clinical and radiographic measures. To date, the literature is devoid of a correlation between rearfoot frontal plane radiographic parameters and clinical measures of alignment. In a repeated-measures study comparing radiographic and clinical rearfoot alignment in 24 healthy subjects, radiographic angular measurements were made from standard weightbearing anteroposterior, lateral, long leg calcaneal axial, and rearfoot alignment views. Clinical measurements were made using a jig and scanner to assess the malleolar valgus index and a goniometer to evaluate the resting and neutral calcaneal stance positions. There was a significant correlation between frontal plane radiographic angles (long leg calcaneal axial and rearfoot alignment views) (r = 0.814). Similarly, there was a significant correlation between clinical measures (resting calcaneal stance position and malleolar valgus index) (r = 0.714). A multivariate stepwise regression showed that resting calcaneal stance position can be accurately predicted from 3 of the 15 clinical and radiographic measurements collected: malleolar valgus index, rearfoot alignment view, and long leg calcaneal axial view (r = 0.829). In summary, a commonly used clinical measure of static rearfoot alignment, resting calcaneal stance position, was correlated closely with the malleolar valgus index and both frontal plane radiographic parameters. (J Am Podiatr Med Assoc 95(1): 26–33, 2005)

This article has been cited by other articles:

				R. W. Mendicino, A. R. Catanzariti, S. John, B. Child, and B. M. Lamm Long Leg Calcaneal Axial and Hindfoot Alignment Radiographic Views for Frontal Plane Assessment J Am Podiatr Med Assoc, January 1, 2008; 98(1): 75 - 78. [Abstract] [Full Text] [PDF]