Evidence map›Paper›PMID 24255767›Full record

Trial reportBritish journal of sports medicine2014

MRI observations at return to play of clinically recovered hamstring injuries.

Gustaaf Reurink, Gert Jan Goudswaard, Johannes L Tol, Emad Almusa, Maarten H Moen, Adam Weir, Jan A N Verhaar, Bruce Hamilton, Mario Maas

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of sports medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Imaging of muscle injuries in soccer.Skeletal radiology · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. [Imaging of muscle injuries in sports medicine].Radiologie (Heidelberg, Germany) · 2023
    Review
  20. 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

9 authors at 6 institutions in 3 countries.

Gustaaf ReurinkDepartment of Orthopaedics, Erasmus Medical Centre, Rotterdam, The Netherlands Department of Sports Medicine, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Gert Jan GoudswaardDepartment of Sports Medicine, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Johannes L TolDepartment of Sports Medicine, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Emad AlmusaDepartment of Radiology, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Maarten H MoenDepartment of Sports Medicine, Bergman Clinics, Naarden, The Netherlands.
Adam WeirDepartment of Sports Medicine, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Jan A N VerhaarDepartment of Orthopaedics, Erasmus Medical Centre, Rotterdam, The Netherlands.
Bruce HamiltonDepartment of Sports Medicine, High Performance Sport New Zealand, Millennium Institute of Sport and Health, Mairangi Bay, Auckland, New Zealand.
Mario MaasDepartment of Radiology, Academic Medical Centre University of Amsterdam, Amsterdam, The Netherlands.
Qatar Orthopaedic and Sports Medicine Hospital · QAAuckland University of Technology · NZBergman Clinics · NLErasmus MC · NLErasmus University Rotterdam · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown that MRI of fresh hamstring injuries have diagnostic and prognostic value. The clinical relevance of MRI at return to play (RTP) has not been clarified yet. The aim of this study is to describe MRI findings of clinically recovered hamstring injuries in amateur, elite and professional athletes that were cleared for RTP.

methodsWe obtained MRI of 53 consecutive athletes with hamstring injuries within 5 days of injury and within 3 days of RTP. We assessed the following parameters: injured muscle, grading of injury, presence and extent of intramuscular signal abnormality. We recorded reinjuries within 2 months of RTP.

resultsMRIs of the initial injury showed 27 (51%) grade 1 and 26 (49%) grade 2 injuries. Median time to RTP was 28 days (range 12-76). On MRI at RTP 47 athletes (89%) had intramuscular increased signal intensity on fluid-sensitive sequences with a mean longitudinal length of 77 mm (±53) and a median cross-sectional area of 8% (range 0-90%) of the total muscle area. In 22 athletes (42%) there was abnormal intramuscular low-signal intensity. We recorded five reinjuries.

conclusions89% of the clinically recovered hamstring injuries showed intramuscular increased signal intensity on fluid-sensitive sequences on MRI. Normalisation of this increased signal intensity seems not required for a successful RTP. Low-signal intensity suggestive of newly developed fibrous tissues is observed in one-third of the clinically recovered hamstring injuries on MRI at RTP, but its clinical relevance and possible association with increased reinjury risk has to be determined.

Indexed as

AdolescentAdultAthletic InjuriesDouble-Blind MethodHumansMagnetic Resonance ImagingMaleMiddle AgedRecovery of FunctionRecurrenceTendon InjuriesYoung AdultHamstring injuriesMRIMuscle damage/injuries

Identifiers

PMID24255767
PMCPMC4174122
OpenAlexW2162958804

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.