Evidence map›Paper›PMID 16799824›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2006

Stress radiography to measure posterior cruciate ligament insufficiency: a comparison of five different techniques.

Tobias M Jung, Carsten Reinhardt, Sven U Scheffler, Andreas Weiler

Abstract readComparative StudyControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Reference standards for stress radiography measurements in knee ligament injury and instability: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Pooled it
  2. Guideline
  3. Pooled it
  4. Clinical studies on posterior cruciate ligament tears have weak design.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2009
    Pooled it
  5. Trial
  6. [Research progress in diagnosis and treatment of multiple ligament knee injuries].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  7. Article
  8. [Impact of tibial tunnel position in artificial posterior cruciate ligament reconstruction on postoperative knee function and stability].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Multiligament Knee Injuries: Updates of the Debates.Indian journal of orthopaedics · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Tobias M JungSports Traumatology & Arthroscopy Service, Center for Musculoskeletal Surgery, Charité, Campus Virchow-Klinikum, Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
Carsten Reinhardt
Sven U Scheffler
Andreas Weiler

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress radiography presents the golden standard to quantify posterior laxity in posterior cruciate ligament (PCL) insufficiency. Several different techniques are currently available, but comparative data are insufficient. Different stress radiographic techniques result in different values for posterior laxity. Comparative controlled clinical study was designed. Prior to PCL reconstruction 30 patients underwent a series of stress radiographs: Telos device, hamstring contraction, kneeling view, gravity view, and an axial view. Posterior displacement, side-to-side difference (SSD), condyle rotation, required time, and pain were measured. Posterior displacement was: Telos 12.7 +/- 3 mm (SSD 10.6 +/- 3.1 mm), hamstring contraction 11.2 +/- 3.2 mm (SSD 8.5 +/- 3.4 mm), kneeling 14.4 +/- 3.8 mm (SSD 10.2 +/- 3.5 mm), gravity view 10.5 +/- 2.8 mm (SSD 9.1 +/- 2.4 mm), and axial view 19.4 +/- 6.9 mm (SSD 8.5 +/- 4.1 mm). In comparison to Telos the hamstring contraction, gravity, and the axial view underestimated the SSD by approximately 2 mm. Telos and kneeling caused significantly more pain than all other techniques (P < 0.001). The axial view was fastest (115 s, P < 0.001) and Telos longest (305 s, P < 0.001), respectively. Telos indicated the lowest rotational error with a significant difference between kneeling and gravity (P < 0.003). In contrast to Telos as the golden standard, hamstring contraction, gravity, and axial view underestimated the SSD. Kneeling and Telos are comparable with respect to SSD and pain. Although kneeling indicates a greater rotational error than Telos, it seems to be a reliable alternative for quantifying posterior tibial displacement in a more simple and fast way.

Indexed as

AdolescentAdultArthroscopyChronic DiseaseExercise TestFemaleHumansKnee InjuriesKnee JointMaleMiddle AgedPosterior Cruciate LigamentRadiographyReproducibility of ResultsResearch DesignStatistics, Nonparametric

Identifiers

PMID16799824

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.