Novel Ultrasound Anatomical Measurement of the Deep Transverse Metatarsal Ligament: An Intra-Rater Reliability and Inter-Rater Concordance Study

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dc.contributor.authorRuiz Herrera, María del Mar
dc.contributor.authorMarcos Tejedor, Félix
dc.contributor.authorAldana Caballero, Alberto
dc.contributor.authorCalvo Lobo, César
dc.contributor.authorRodríguez Sanz, David
dc.contributor.authorMoroni, Simone
dc.contributor.authorKonschake, Marko
dc.contributor.authorMohedano Moriano, Alicia
dc.contributor.authorAceituno Gómez, Javier
dc.contributor.authorCriado Álvarez, Juan José
dc.date.accessioned2023-06-22T11:16:51Z
dc.date.available2023-06-22T11:16:51Z
dc.date.issued2022-05-02
dc.description.abstractInsufficient space below the Deep Transverse Metatarsal Ligament (DTML) could be an etiological factor for Morton’s Neuroma (MN). To date, there is a lack of studies measuring the space below the DTML. For this reason, this study assesses the intra- and inter-rater concordance and reproducibility of measurements of the space below the DTML between the third and the fourth metatarsal heads (M3 and M4) using ultrasound imaging to assess and verify the reliability and reproducibility of measurements of the space under the DTML. Forty feet from twenty patients were examined using ultrasound by three trained evaluators at two different times. The two measurements taken on each foot were: base (b)—distance between M3 and M4, and height (h)—distance between the DTML and the plantar skin surface. This was a quantitative, observational, analytical study. The concordance rate between observers for measurements of height and base were 98.5% and 99.5%, respectively. The mean area obtained of the space was 54.6 mm2 and 57.2 mm2 for both the left and right foot (p > 0.05). Reproducibility over time calculated in pre- and post-measurements showed an intraclass correlation coefficient of 1.00 (95%CI: 0.99–1.00), which leads us to conclude that the measurements are perfectly reproducible. Both measurements (height and base) of the space under the DTML, performed by ultrasound, are reliable and reproducible.
dc.description.facultyFac. de Enfermería, Fisioterapia y Podología
dc.description.refereedTRUE
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/78287
dc.identifier.doi10.3390/jcm11092553
dc.identifier.issn2077-0383
dc.identifier.officialurlhttps://doi.org/10.3390/jcm11092553
dc.identifier.relatedurlhttps://www.mdpi.com/2077-0383/11/9/2553
dc.identifier.urihttps://hdl.handle.net/20.500.14352/72277
dc.issue.number9
dc.journal.titleJournal of Clinical Medicine
dc.language.isoeng
dc.page.initial2553
dc.publisherMDPI
dc.rightsAtribución 3.0 España
dc.rights.accessRightsopen access
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/es/
dc.subject.cdu616.718.7/.9
dc.subject.keywordMorton’s Neuroma
dc.subject.keywordDeep transverse metatarsal ligament
dc.subject.keywordUltrasound
dc.subject.keywordConcordance
dc.subject.ucmPodología
dc.titleNovel Ultrasound Anatomical Measurement of the Deep Transverse Metatarsal Ligament: An Intra-Rater Reliability and Inter-Rater Concordance Study
dc.typejournal article
dc.volume.number11
dspace.entity.typePublication
relation.isAuthorOfPublication9420a0f4-5654-4ad9-a920-e9521d454023
relation.isAuthorOfPublication3d3e5c8a-15a9-4991-97ee-ea886940b1a5
relation.isAuthorOfPublication.latestForDiscovery9420a0f4-5654-4ad9-a920-e9521d454023
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