Evidence map›Paper›PMID 18412302›Full record

ArticleThe Journal of rheumatology2008

Association between crystals and cartilage degeneration in the ankle.

Carol Muehleman, Jun Li, Thomas Aigner, Lev Rappoport, Eric Mattson, Carol Hirschmugl, Koichi Masuda, Ann K Rosenthal

Abstract read
In one paragraph

Article in The Journal of rheumatology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. The pathogenesis of gout.Journal of rheumatic diseases · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Chondrocalcinosis and Osteoarthritis: A Literature Review.European journal of rheumatology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Carol MuehlemanDepartment of Biochemistry, Rush University Medical Center, Cohn Building, Room 524, 1735 W. Harrison St., Chicago, IL 60612. USA. carol_muehleman@rush.edu
Jun Li
Thomas Aigner
Lev Rappoport
Eric Mattson
Carol Hirschmugl
Koichi Masuda
Ann K Rosenthal

Funding

Matrix proteins promote matrix vesicle mineralizationR01AR052615 · NIAMS · MEDICAL COLLEGE OF WISCONSIN · PI ROSENTHAL, ANN K · 2005 to 2007
$480k
NIAMS NIH HHS R01 AR052615NIAMS NIH HHS R01 AR 40292-05
6 · The paper itself

Abstract

objectiveMonosodium urate (MSU) and calcium pyrophosphate dihydrate (CPPD) crystals have been observed in synovial joints both before and after the onset of osteoarthritis (OA). The relationship between crystals and OA, however, remains controversial. We compared histologic and immunohistochemical patterns in articular cartilage of ankle joints with and without crystals.

methodsA sample of 7,855 human cadaveric tali was examined for the presence of surface and beneath-the-surface crystals. A random subsample of tali with and without crystals underwent crystal analysis by Fourier transform infrared spectroscopy (FTIR), histologic examination, and immunohistochemistry for S100 protein, superficial zone protein, collagen X, cSRC.

resultsThe prevalence of grossly visible crystals in the pool of donors over 18 years of age was 4.7% and correlated with advanced age, male sex, and obesity. Crystals were strongly associated with cartilage lesions and these lesions appeared to be biomechanically induced, being located where opposing articular surfaces might not be in congruence with each other. Thirty-four percent of the random subsamples of crystals upon which FTIR was performed contained CPPD, and the remainder were MSU crystals. Both crystal types were associated with higher levels of superficial zone protein and collagen X.

conclusionWe show that the presence of surface crystals of either MSU or CPPD is strongly correlated with cartilage lesions in the talus. The histologic similarities in cartilage from joints with CPPD crystals compared to those with MSU crystals, together with what is known about the dramatically different etiologic factors producing these crystals, strongly suggest that these lesions are biomechanically induced.

Indexed as

AdolescentAdultAgedAged, 80 and overAnkle InjuriesAnkle JointCartilage, ArticularChondrocalcinosisCross-Sectional StudiesHumansMiddle AgedSpectroscopy, Fourier Transform InfraredTalusUric AcidUric Acid

Identifiers

PMID18412302
PMCPMC6240447

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.