Evidence map›Paper›PMID 25085232›Full record

ArticleBone & joint research2014

The use of MRI in pre-operative evaluation of anterior talofibular ligament in chronic ankle instability.

T Kanamoto, Y Shiozaki, Y Tanaka, Y Yonetani, S Horibe

Open access · goldAbstract read
In one paragraph

Article in Bone & joint research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 16% 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, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. The anterior talofibular ligament-posterior talofibular ligament angle decreased after ankle lateral stabilization surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  8. Evaluation of 3-Dimensional Magnetic Resonance Imaging (3D MRI) in Diagnosing Anterior Talofibular Ligament Injury.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
  9. Article
  10. Increased ATFL-PTFL angle could be an indirect MRI sign in diagnosis of chronic ATFL injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  11. Absence of ATFL remnant does not affect the clinical outcomes of the modified broström operation for chronic ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  12. Reliability and validity of preoperative MRI for surgical decision making in chronic lateral ankle instability.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018
    Article
  13. 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 4 institutions in 1 country.

T KanamotoOsaka Rosai Hospital, Department of Rehabilitation, 1179-3, Nagasone-cho, Kita-ku, Sakai, Osaka 591-8025, Japan.
Y ShiozakiSeifu Hospital, Department of Orthopedic Surgery, 1-4, Kitahanada-cho, Kita-ku, Sakai, Osaka 591-8002, Japan.
Y TanakaOsaka Rosai Hospital, Department of Sports Orthopedics, 1179-3 Nagasone-cho, Kita-ku, Sakai, Osaka, 591-8025, Japan.
Y YonetaniOsaka University Graduate School of Medicine, Department of Orthopedic Surgery, 1-1, Yamadaoka, Suita, Osaka 565-0871, Japan.
S HoribeOsaka Prefecture University, Faculty of Comprehensive Rehabilitation, 3-7-30, Habikino, Habikino, Osaka 583-8555, Japan.
Osaka Rosai Hospital · JPKitano Hospital · JPOsaka Prefecture University · JPThe University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the applicability of MRI for the quantitative assessment of anterior talofibular ligaments (ATFLs) in symptomatic chronic ankle instability (CAI).

methodsBetween 1997 and 2010, 39 patients with symptomatic CAI underwent surgical treatment (22 male, 17 female, mean age 25.4 years (15 to 40)). In all patients, the maximum diameters of the ATFLs were measured on pre-operative T2-weighted MR images in planes parallel to the path of the ATFL. They were classified into three groups based on a previously published method with modifications: 'normal', diameter = 1.0 - 3.2 mm; 'thickened', diameter > 3.2 mm; 'thin or absent', diameter < 1.0 mm. Stress radiography was performed with the maximum manual force in inversion under general anaesthesia immediately prior to surgery. In surgery, ATFLs were macroscopically divided into two categories: 'thickened', an obvious thickened ligament and 'thin or absent'. The imaging results were compared with the macroscopic results that are considered to be of a gold standard.

resultsAgreement was reached when comparison was made between groups, based on MRI and macroscopic findings. ATFLs were abnormal in all 39 cases and classified as ten 'thickened' and 29 'thin or absent'. As to talar tilt stress radiography, a clear cut-off angle, which would allow discrimination between 'thickened' and 'thin or absent' patients, was not identified.

conclusionMRI is valuable as a pre-operative assessment tool that can provide the quantitative information of ATFLs in patients with CAI. Cite this article Bone Joint Res 2014;3:241-5.

Indexed as

Anterior talofibular ligament (ATFL)Chronic ankle instability (CAI)MRIStress radiography

Identifiers

PMID25085232
PMCPMC4127656
OpenAlexW2134041531

What OpenQuestion holds

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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.