Evidence map›Paper›PMID 21667263›Full record

ArticleSurgical and radiologic anatomy : SRA2012

Morphometry of the synovial folds of the lateral atlanto-axial joints: the anatomical basis for understanding their potential role in neck pain.

Alexandra L Webb, Hamid Rassoulian, Barry S Mitchell

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical and radiologic anatomy : SRA, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Cervical spine meniscoids: an update on their morphological characteristics and potential clinical significance.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017
    Review
  2. Article
  3. The odontoid process: various configuration types in MR examinations.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2014
    Article
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

3 authors.

Alexandra L WebbCentre for Learning Anatomical Sciences, School of Medicine, University of Southampton, Mailpoint 845, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK. A.L.Webb@southampton.ac.uk
Hamid Rassoulian
Barry S Mitchell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntra-articular synovial folds of the cervical spine are considered to be a potential source of neck pain and disability. The purpose of the present study was to devise and validate a method to determine the normal morphometry of the synovial folds as a basis for understanding their functional and clinical significance.

methodsNine cadaver cervical spines were sectioned in the sagittal plane. The presence of the synovial folds at the lateral atlanto-axial joints was determined and their morphology described. Depth of projection, cross-sectional area and volume of the ventral and dorsal synovial folds of the right and left lateral atlanto-axial joints were measured from sagittal sections and compared. The relationship between synovial fold dimensions and subject age and cartilage degeneration were determined. Repeat measurements were made for the calculation of method reliability, and the water displacement method was used to determine method validity.

resultsThere was a trend for ventral synovial folds to be larger than dorsal synovial folds. There was no correlation between synovial fold dimensions and age and extent of cartilage degeneration. Measurement reliability ranged from intraclass correlation coefficient 0.95-1.00 (intra-observer), 0.95-1.00 (test-retest) and 0.61-1.00 (inter-observer). Limits of agreement for the sectional and water displacement methods for the measurement of synovial fold volume were -1.04 ± 3.35 mm(3).

conclusionsA reliable method for quantifying synovial fold dimensions was devised. The results of this study provide a basis for the determination and diagnosis of pathologies affecting the synovial folds.

Indexed as

AgedAged, 80 and overAtlanto-Axial JointCadaverCervical VertebraeDissectionFemaleHumansJoint CapsuleMaleNeck PainObserver VariationReproducibility of ResultsSynovial Membrane

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Registered trials

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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.