Evidence map›Paper›PMID 24885831›Full record

Trial reportBMC musculoskeletal disorders2014

Association between intraarticular cytokine levels and clinical parameters of osteochondritis dissecans in the ankle.

Hagen Schmal, Ingo H Pilz, Ralf Henkelmann, Gian M Salzmann, Norbert P Südkamp, Philipp Niemeyer

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Reoperation rates following ankle ligament procedures performed with and without concomitant arthroscopic procedures.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Article
  5. 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

6 authors at 2 institutions in 1 country.

Hagen SchmalDepartment of Orthopaedic Surgery, University of Freiburg Medical Center, Hugstetter Str, 55, D-79106, Freiburg, Germany. hagen.schmal@freenet.de.
Ingo H Pilz
Ralf Henkelmann
Gian M Salzmann
Norbert P Südkamp
Philipp Niemeyer
University Medical Center Freiburg · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReliable data about in vivo regulation of cytokines in osteochondritis dissecans (OCD) of the ankle are still missing. Disease-specific regulation patterns were hypothesized.

methods28 patients with a mean age of 30.7 ± 14.8 years undergoing an arthroscopy of the ankle because of OCD were prospectively included in a clinical trial. Lavage fluids were analyzed by ELISA for levels of aggrecan, BMP-2, BMP-7, IGF-1, IGF-1R, bFGF, endoglin, MMP-13, and IL-1β. Additionally, clinical parameters and scores (FFI, CFSS, AOFAS) were evaluated and supplemented by the Kellgren Lawrence Score (KLS) for conventional X-rays and the Ankle Osteoarthritis Scoring System (AOSS) for MRI.

resultsGrading of OCD lesions statistically significant increased with age and was higher in case of previously performed operations (p<0.03). A worse clinical function reflected by low AOFAS and CFSS scores or high FFI was associated with high grading of cartilage damage or OCD (p<0.03). Similarly, high radiological scores (KLS and AOSS) indicating progress of OA positively correlated with grading of cartilage damage and OCD. The concordance between the MRI and arthroscopic classification was overall moderate (κ=0.52). Biochemically, only IGF/IGF-1R levels were consistently negatively associated with OCD grading, ICRS score, FFI and KLS (p<0.05). Correlation data is supported by post hoc statistics.

conclusionsRadiological and clinical parameters in association with synovial IGF-1/IGF-1R levels indicated an increasing joint degeneration with rising OCD stage.

trial registrationGerman Clinical Trials Register DRKS00000365, 11/03/2008.

Indexed as

AdultAnkle JointBiomarkersCartilage, ArticularCytokinesFemaleHumansMaleMiddle AgedOsteochondritis DissecansProspective StudiesBiomarkersCytokines

Identifiers

PMID24885831
PMCPMC4037745
OpenAlexW2145178863

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.