Evidence map›Paper›PMID 25941043›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Patellar instability: CT and MRI measurements and their correlation with internal derangement findings.

Rashmi S Thakkar, Filippo Del Grande, Vibhor Wadhwa, Majid Chalian, Gustav Andreisek, John A Carrino, John Eng, Avneesh Chhabra

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.4field-weighted citation impact, top 13% 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

31 citing papers in PubMed, 56 citations in OpenAlex.

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  12. Sulcus depth, congruence angle, Wiberg index, TT-TG distance, and CDI are strong predictors of recurrent patellar dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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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

8 authors at 4 institutions in 2 countries.

Rashmi S ThakkarThe Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, 21287, USA.
Filippo Del GrandeThe Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, 21287, USA.
Vibhor WadhwaDepartment of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Majid ChalianThe Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, 21287, USA.
Gustav AndreisekDepartment of Radiology, University Hospital, Zurich, Switzerland.
John A CarrinoThe Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, 21287, USA.
John EngThe Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, 21287, USA.
Avneesh ChhabraThe Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, 21287, USA. avneesh.chhabra@utsouthwestern.edu.
Johns Hopkins Hospital · USJohns Hopkins University · USUniversity Hospital of Zurich · CHUniversity of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo test the inter-observer and inter-method reliability among the measures suggesting patellofemoral joint disorder on both CT and MRI in the same subject and find possible association with internal derangements of the patellofemoral joint on MRI.

methodsInstitutional review board approval was obtained with waiver of the informed consent in this HIPPA-compliant study. CT and MRI were evaluated in 32 knees in 32 respective subjects (10 men/22 women, mean age 38 ± 19 years). Three trained observers assessed tibial tuberosity-trochlear groove (TT-TG) distance, trochlear angle and trochlear depth on both CT and MRI. Intra-class correlation coefficient (ICC) was used to evaluate inter-observer and inter-method reliability. Two radiologists' consensus reading was used to evaluate their association with soft tissue abnormalities of the patellofemoral joint. Chi-square test was used to assess the statistical significance of the qualitative variables.

resultsThere was an excellent inter-observer reliability (ICC for CT >0.89 and for MRI >0.90) and inter-method reliability (ICC >0.86) for all the quantitative measurements. There was a significant association between increased TT-TG distance value on MR imaging and lateral facet patellar cartilage abnormality and joint effusion (p < 0.05).

conclusionQuantitative trochlear parameters can be reliably calculated on MRI, and an abnormal TT-TG distance is the most useful measurement among various static MR imaging parameters to correlate with patellar chondrosis and joint effusion. TT-TG distance should be reported in patellofemoral pain syndrome patients. LEVEL OF EVIDENCE: IV.

Indexed as

Magnetic Resonance ImagingTomography, X-Ray ComputedAdultCartilage DiseasesFemaleHumansJoint InstabilityMaleObserver VariationPatellofemoral JointPatellofemoral Pain SyndromeReproducibility of ResultsPatella maltrackingPatellofemoral disorderTibial tuberosity–trochlear groove distanceTrochlear dysplasiaTT–TG

Identifiers

PMID25941043
OpenAlexW235176262

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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.