Evidence map›Paper›PMID 21748509›Full record

ArticleClinical orthopaedics and related research2011

Radiographic risk factors for labral lesions in femoroacetabular impingement.

Thomas Kappe, Tugrul Kocak, Ralf Bieger, Heiko Reichel, Christian R Fraitzl

Open access · greenAbstract read
In one paragraph

Article in Clinical orthopaedics and related research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Radiographic predictors of femoroacetabular impingement treatment outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Pooled it
  2. Article
  3. Article
  4. Postoperative alpha angle not associated with patient-centered midterm outcomes following hip arthroscopy for FAI.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Article
  5. Risk Factors for Bilateral Femoroacetabular Impingement Syndrome Requiring Surgery.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Prevalence of acetabular labral tears in asymptomatic children.Journal of children's orthopaedics · 2016
    Article
  10. Article
  11. Article
  12. Clinical and morphologic factors associated with suture anchor refixation of labral tears in the hip.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2014
    Article
  13. Spontaneous hip labrum regrowth after initial surgical débridement.Clinical orthopaedics and related research · 2013
    Article
  14. 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

5 authors at 1 institution in 1 country.

Thomas KappeDepartment for Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany. thkappe@gmx.de
Tugrul Kocak
Ralf Bieger
Heiko Reichel
Christian R Fraitzl
Universität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTears of the acetabular labrum can lead to pain, disability, and osteoarthritis. Several pathomechanisms have been proposed, including femoroacetabular impingement (FAI). Labral tears have been reported to occur in the presence of even subtle deformities of the acetabulum and femoral head-neck junction. QUESTIONS/PURPOSES: We analyzed the association of the extent of bony deformity and presence and extent of labral lesions in hips with FAI. PATIENTS AND

methodsRadiographs of 123 hips in 116 patients receiving surgical treatment for FAI were analyzed and correlated to the presence and extent of labral lesions. Radiographic parameters of the acetabulum included acetabular index of the weightbearing zone, center-edge angle, inclination of the acetabulum, lateral head extrusion index, and retroversion. On the femoral side, neck-shaft angle, asphericity of the femoral head, superior and anterior alpha angle, offset, and offset ratio were measured. Osteoarthritis was graded according to Tönnis and Kellgren and Lawrence. Labral lesions were graded according to the modified Beck classification. A correlation between labral lesions and age, gender, affected side, type of impingement, and presence and extent of chondromalacia also was tested.

resultsNo correlation was found between presence or extent of labral lesions and any radiographic parameter tested, except osteoarthritis classification. The severity of labral lesions correlated to the severity of acetabular chondromalacia as well as patient age (Beck Grade 0 versus Grade 1, Beck Grade 0 versus Grades 1 and 2).

conclusionsIn the presence of impingement-inducing deformity, the extent of deformation is not associated with the incidence of labral lesions. Labral lesions are associated with early degenerative hip disease in FAI. LEVEL OF EVIDENCE: Level I, diagnostic study. See Guidelines for Authors for a complete description of levels of evidence.

Indexed as

AcetabulumAdolescentAdultCartilage, ArticularCross-Sectional StudiesFemaleFemoracetabular ImpingementFemurFractures, CartilageHip JointHumansMaleMiddle AgedOsteoarthritis, HipRadiographyRetrospective Studies

Identifiers

PMID21748509
PMCPMC3183188
OpenAlexW2168373359

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.