Reliability of different smartphones measuring the hallux valgus parameters in a new rapid method: a follow-up study

Abstract Objective This study aimed to further compare the abilities to measure hallux valgus parameters in different smartphones using the intrinsic photograph-editing function. Methods We retrospectively reviewed 61 patients (100 feet) of hallux valgus without medical or surgical interventions at...

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Main Authors: Lin Wang, Chao Zhang, Hao Liang, Jun Zhang, Weiyang Zhong, Zenghui Zhao, Tianji Huang, Xiaoji Luo
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-022-05217-9
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author Lin Wang
Chao Zhang
Hao Liang
Jun Zhang
Weiyang Zhong
Zenghui Zhao
Tianji Huang
Xiaoji Luo
author_facet Lin Wang
Chao Zhang
Hao Liang
Jun Zhang
Weiyang Zhong
Zenghui Zhao
Tianji Huang
Xiaoji Luo
author_sort Lin Wang
collection DOAJ
description Abstract Objective This study aimed to further compare the abilities to measure hallux valgus parameters in different smartphones using the intrinsic photograph-editing function. Methods We retrospectively reviewed 61 patients (100 feet) of hallux valgus without medical or surgical interventions at our department. The radiographic parameters were assessed and measured via the Picture archiving and communication systems (PACS), iPhone, and Android. The accuracy, reliability, and the time-taken were compared and analyzed between each two methods. Results The mean value of measured hallux valgus parameters were as follow: hallux valgus angle (HVA): 33.71 ± 7.25°; the first and second intermetatarsal angle (IMA): 12.84 ± 3.62° in PACS; HVA: 33.59 ± 7.18° and IMA: 12.80 ± 3.65° in Android; HVA: 33.63 ± 7.23° and IMA: 12.87 ± 3.60° in iPhone. No significant difference was found among the average results measured by PACS, Android and iPhone (F = 0.008, P = 0.992 in HVA; F = 0.009, P = 0.991 in IMA). For measurements by PACS, Android smartphone, and iPhone, the variability of HVA (F = 0.061, P = 1.000) and IMA (F = 0.133, P = 1.000) was similar. The intraclass correlation coefficients (ICCs) of the mean results of four times measurements of HVA and IMA as follows: PACS vs Android: 0.995 (0.993–0.997) and 0.982 (0.973–0.988); PACS vs iPhone:0.997 (0.995–0.998) and 0.974 (0.962–0.982); Android vs iPhone:0.997 (0.995–0.998) and 0.981 (0.971–0.987). The interobserver and intraobserver reliability was very good for Android smartphones and iPhone in measuring hallux valgus parameters. The mean time of measurement by PACS, Android smartphone, and iPhone were 25.34 ± 1.18 s, 20.10 ± 0.92 s, and 19.92 ± 0.99 s respectively. The measurement time of smartphones is significantly faster than that of PACS by about 5 seconds (P = 0.000). The measurement time of iPhone was slightly faster than that of Android smartphone, while no significant difference was found (P = 0.24). Conclusion It is more convenient and faster to use smartphones when compared with PACS, at the same level of accuracy. Furthermore, the abilities of different smartphone platforms are proven to be of no significant difference.
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spelling doaj.art-fa218df13f2044cea85771df2972d9752022-12-22T03:13:20ZengBMCBMC Musculoskeletal Disorders1471-24742022-04-012311810.1186/s12891-022-05217-9Reliability of different smartphones measuring the hallux valgus parameters in a new rapid method: a follow-up studyLin Wang0Chao Zhang1Hao Liang2Jun Zhang3Weiyang Zhong4Zenghui Zhao5Tianji Huang6Xiaoji Luo7Department of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityAbstract Objective This study aimed to further compare the abilities to measure hallux valgus parameters in different smartphones using the intrinsic photograph-editing function. Methods We retrospectively reviewed 61 patients (100 feet) of hallux valgus without medical or surgical interventions at our department. The radiographic parameters were assessed and measured via the Picture archiving and communication systems (PACS), iPhone, and Android. The accuracy, reliability, and the time-taken were compared and analyzed between each two methods. Results The mean value of measured hallux valgus parameters were as follow: hallux valgus angle (HVA): 33.71 ± 7.25°; the first and second intermetatarsal angle (IMA): 12.84 ± 3.62° in PACS; HVA: 33.59 ± 7.18° and IMA: 12.80 ± 3.65° in Android; HVA: 33.63 ± 7.23° and IMA: 12.87 ± 3.60° in iPhone. No significant difference was found among the average results measured by PACS, Android and iPhone (F = 0.008, P = 0.992 in HVA; F = 0.009, P = 0.991 in IMA). For measurements by PACS, Android smartphone, and iPhone, the variability of HVA (F = 0.061, P = 1.000) and IMA (F = 0.133, P = 1.000) was similar. The intraclass correlation coefficients (ICCs) of the mean results of four times measurements of HVA and IMA as follows: PACS vs Android: 0.995 (0.993–0.997) and 0.982 (0.973–0.988); PACS vs iPhone:0.997 (0.995–0.998) and 0.974 (0.962–0.982); Android vs iPhone:0.997 (0.995–0.998) and 0.981 (0.971–0.987). The interobserver and intraobserver reliability was very good for Android smartphones and iPhone in measuring hallux valgus parameters. The mean time of measurement by PACS, Android smartphone, and iPhone were 25.34 ± 1.18 s, 20.10 ± 0.92 s, and 19.92 ± 0.99 s respectively. The measurement time of smartphones is significantly faster than that of PACS by about 5 seconds (P = 0.000). The measurement time of iPhone was slightly faster than that of Android smartphone, while no significant difference was found (P = 0.24). Conclusion It is more convenient and faster to use smartphones when compared with PACS, at the same level of accuracy. Furthermore, the abilities of different smartphone platforms are proven to be of no significant difference.https://doi.org/10.1186/s12891-022-05217-9Hallux valgusSmartphonesMeasurementHVAIMA
spellingShingle Lin Wang
Chao Zhang
Hao Liang
Jun Zhang
Weiyang Zhong
Zenghui Zhao
Tianji Huang
Xiaoji Luo
Reliability of different smartphones measuring the hallux valgus parameters in a new rapid method: a follow-up study
BMC Musculoskeletal Disorders
Hallux valgus
Smartphones
Measurement
HVA
IMA
title Reliability of different smartphones measuring the hallux valgus parameters in a new rapid method: a follow-up study
title_full Reliability of different smartphones measuring the hallux valgus parameters in a new rapid method: a follow-up study
title_fullStr Reliability of different smartphones measuring the hallux valgus parameters in a new rapid method: a follow-up study
title_full_unstemmed Reliability of different smartphones measuring the hallux valgus parameters in a new rapid method: a follow-up study
title_short Reliability of different smartphones measuring the hallux valgus parameters in a new rapid method: a follow-up study
title_sort reliability of different smartphones measuring the hallux valgus parameters in a new rapid method a follow up study
topic Hallux valgus
Smartphones
Measurement
HVA
IMA
url https://doi.org/10.1186/s12891-022-05217-9
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