{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:17:54Z","timestamp":1784899074710,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009389","name":"Stiftelsen Promobilia","doi-asserted-by":"publisher","award":["NA"],"award-info":[{"award-number":["NA"]}],"id":[{"id":"10.13039\/100009389","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Stiftelsen Skobranschens Utvecklingsfond","award":["NA"],"award-info":[{"award-number":["NA"]}]},{"name":"Stiftelsen Barnforskningen","award":["NA"],"award-info":[{"award-number":["NA"]}]},{"DOI":"10.13039\/501100020325","name":"S\u00e4llskapet Barnav\u00e5rd","doi-asserted-by":"publisher","award":["NA"],"award-info":[{"award-number":["NA"]}],"id":[{"id":"10.13039\/501100020325","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Region Stockholm","award":["FOUI-1011778"],"award-info":[{"award-number":["FOUI-1011778"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The recurrence rate in children with idiopathic clubfoot is high. The Pirani B\u00f6hm Sinclair score is a clinical tool screening for signs of recurrence. This study examined the inter- and intra-rater reliability of video-documented Pirani B\u00f6hm Sinclair score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In two pediatric orthopedic centers, children with idiopathic clubfoot aged 4\u201315\u2009years were consecutively included and filmed using a standardized protocol to complete the Pirani B\u00f6hm Sinclair score. Four pediatric orthopedic surgeons with extensive experience treating clubfoot patients viewed the videos and scored the feet according to the Pirani B\u00f6hm Sinclair score. Intra-class correlation coefficient and Kappa statistics were used to determine reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty-five children with 85 clubfeet were included (54% bilateral). A subset of 30 videos was reassessed at a separate occasion by two of the four raters. Fleiss unweighted Kappa showed substantial agreement between all raters for the item \u201cearly heel rise,\u201d and moderate agreement for all remaining items except \u201cswing phase supination\u201d which was fair. Intra-class correlation coefficient for the total Pirani B\u00f6hm Sinclair score was almost perfect for both agreement and consistency on a group level and for each rater pair, respectively. Examination of intra-rater reliability showed substantial to almost perfect agreement for five items for both raters, but not the same five items.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study highlights the potential use of video-documented Pirani B\u00f6hm Sinclair score. A high level of agreement was found for the item \u201cearly heel rise\u201d where reduced playback speed and repeated viewing may aid assessment, while a low level of agreement was observed for the clinically important item \u201cwalking supination.\u201d Further development of the scoring instructions is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521251349437","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T16:25:56Z","timestamp":1750782356000},"page":"312-320","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Inter- and intra-rater reliability of video-documented Pirani B\u00f6hm Sinclair score: A potential method to screen for signs of recurrence in children with idiopathic clubfoot?"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5562-8861","authenticated-orcid":false,"given":"\u00c5sa","family":"Thelaus","sequence":"first","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Karolinska Institutet, Stockholm, Sweden"},{"name":"Pediatric Orthopedic Department, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salik","family":"Kashif","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Spine Surgery, Khyber Girls Medical College, Pershawar, Pakistan"},{"name":"MTI Hayatabad Medical Complex Phase 4, Khyber Girls Medical College, Phase 5 Hayatabad, Peshawar, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Brostr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Karolinska Institutet, Stockholm, Sweden"},{"name":"Motion Analysis Lab, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8006-7488","authenticated-orcid":false,"given":"Alaric","family":"Aroojis","sequence":"additional","affiliation":[{"name":"Lilavati Hospital, PD Hinduja Hospital, Bai Jerbai Wadia Hospital for Children, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0282-3663","authenticated-orcid":false,"given":"Steven","family":"Frick","sequence":"additional","affiliation":[{"name":"Atrium Health Wake Forest University School of Medicine, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"B\u00f6hm","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Karolinska Institutet, Stockholm, Sweden"},{"name":"Pediatric Orthopedic Department, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4732-3769","authenticated-orcid":false,"given":"Josefine E","family":"Naili","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Karolinska Institutet, Stockholm, Sweden"},{"name":"Motion Analysis Lab, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0260336"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102178"},{"key":"e_1_3_3_4_2","first-page":"2","volume-title":"21st SICOT congress","author":"Pirani S","year":"1999","unstructured":"Pirani S, Outerbridge H, Sawatzky B, et al. 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