The grading of hallux valgus. The Manchester Scale

This article describes a new, noninvasive method of assessing the severity of hallux valgus deformity by means of a set of standardized photographs. Six podiatrists were independently asked to grade the level of deformity of 13 subjects (26 feet) on a scale of 1 (no deformity) to 4 (severe deformity...

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Bibliographic Details
Published in:Journal of the American Podiatric Medical Association Vol. 91; no. 2; pp. 74 - 78
Main Authors: Garrow, A P, Papageorgiou, A, Silman, A J, Thomas, E, Jayson, M I, Macfarlane, G J
Format: Journal Article
Language:English
Published: United States 01-02-2001
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Summary:This article describes a new, noninvasive method of assessing the severity of hallux valgus deformity by means of a set of standardized photographs. Six podiatrists were independently asked to grade the level of deformity of 13 subjects (26 feet) on a scale of 1 (no deformity) to 4 (severe deformity). The reliability of the four-point scale for the severity of hallux valgus was investigated by means of kappa-type statistics for more than two raters. The results showed that the grading method had excellent interobserver repeatability with a combined kappa-type statistic of 0.86, making it a suitable instrument for clinical and research purposes.
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ISSN:8750-7315
DOI:10.7547/87507315-91-2-74