The Grading of Hallux Valgus

A. P. Garrow, A. Papageorgiou, A. J. Silman, E. Thomas, M. I. V. Jayson, Gary John MacFarlane

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176 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)74-78
Number of pages4
JournalJournal of the American Podiatric Medical Association
Publication statusPublished - 2001


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