Evidence map›Paper›PMID 25504809›Full record

ArticleThe American journal of sports medicine2015

In vivo measurement of localized tibiofemoral cartilage strains in response to dynamic activity.

E Grant Sutter, Margaret R Widmyer, Gangadhar M Utturkar, Charles E Spritzer, William E Garrett, Louis E DeFrate

Open access · greenAbstract read
In one paragraph

Article in The American journal of sports medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

  1. Pooled it
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  7. Walking recovers cartilage compressive strain in vivo.Osteoarthritis and cartilage open · 2024
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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.

E Grant SutterDuke Sports Medicine Center, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Margaret R WidmyerDuke Sports Medicine Center, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA Department of Biomedical Engineering, Duke University, Durham, North Carolina, USA.
Gangadhar M UtturkarDuke Sports Medicine Center, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Charles E SpritzerDepartment of Radiology, Duke University Medical Center, Durham, North Carolina, USA.
William E GarrettDuke Sports Medicine Center, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Louis E DeFrateDuke Sports Medicine Center, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA Department of Biomedical Engineering, Duke University, Durham, North Carolina, USA lou.defrate@duke.edu.
Duke Medical Center · USDuke University · US

Funding

In Vivo Knee Motion and ACL Biomechanics During Dynamic ActivitiesR01AR065527 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2014 to 2024
$4.8M
In Vivo Cartilage Mechanics and Degeneration After ACL DeficiencyR03AR063325 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2013 to 2015
$235k
NIAMS NIH HHS AR063325NIAMS NIH HHS AR065527NIAMS NIH HHS R01 AR065527NIAMS NIH HHS R03 AR063325
6 · The paper itself

Abstract

backgroundAltered local mechanical loading may disrupt normal cartilage homeostasis and play a role in the progression of osteoarthritis. Currently, there are limited data quantifying local cartilage strains in response to dynamic activity in normal or injured knees. PURPOSE/HYPOTHESIS: To directly measure local tibiofemoral cartilage strains in response to a dynamic hopping activity in normal healthy knees. We hypothesized that local regions of cartilage will exhibit significant compressive strains in response to hopping, while overall compartmental averages may not. STUDY

designControlled laboratory study.

methodsBoth knees of 8 healthy subjects underwent magnetic resonance imaging before and immediately after a dynamic hopping activity. Images were segmented and then used to create 3-dimensional surface models of bone and cartilage. These pre- and postactivity models were then registered using an iterative closest point technique to enable site-specific measurements of cartilage strain (defined as the normalized change in cartilage thickness before and after activity) on the femur and tibia.

resultsSignificant strains were observed in both the medial and lateral tibial cartilage, with each compartment averaging a decrease of 5%. However, these strains varied with location within each compartment, reaching a maximum compressive strain of 8% on the medial plateau and 7% on the lateral plateau. No significant averaged compartmental strains were observed in the medial or lateral femoral cartilage. However, local regions of the medial and lateral femoral cartilage experienced significant compressive strains, reaching maximums of 6% and 3%, respectively.

conclusionLocal regions of both the femur and tibia experienced significant cartilage strains as a result of dynamic activity. An understanding of changes in cartilage strain distributions may help to elucidate the biomechanical factors contributing to cartilage degeneration after joint injury. CLINICAL RELEVANCE: Site-specific measurements of in vivo cartilage strains are important because altered loading is believed to be a factor contributing to the development and progression of osteoarthritis. Specifically, this methodology and data could be used to evaluate the effects of soft tissue injuries (such as ligament or meniscus tears) on cartilage strains in response to dynamic activities of daily living.

Indexed as

AdultBiomechanical PhenomenaCartilage, ArticularExercise TestFemurHumansKnee JointMagnetic Resonance ImagingMaleMenisci, TibialMovementTibiaWeight-BearingYoung Adultbiomechanicscartilagehoppingjumpingkneemagnetic resonance imagingosteoarthritisstrainstress testtibiofemoral

Identifiers

PMID25504809
PMCPMC4315145
OpenAlexW2161976130

What OpenQuestion holds

Textmetadata
LicenceTDM
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.