Evidence map›Paper›PMID 26356649›Full record

ArticleKorean journal of radiology

Deltoid Ligament and Tibiofibular Syndesmosis Injury in Chronic Lateral Ankle Instability: Magnetic Resonance Imaging Evaluation at 3T and Comparison with Arthroscopy.

Ka-Young Chun, Yun Sun Choi, Seok Hoon Lee, Jin Su Kim, Ki Won Young, Min-Sun Jeong, Dae-Jung Kim

Abstract read
In one paragraph

Article in Korean journal of radiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Arthroscopic coronal plane syndesmotic instability has been over-diagnosed.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Pooled it
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  8. Deltoid ligament (DL) repair produced better results than DL nonrepair for the treatment for rotational ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  9. Diagnostic value of intraoperative tap test for acute deltoid ligament injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
  10. Article
  11. MRI of the distal tibiofibular joint.Skeletal radiology · 2020
    Review
  12. Review
  13. Advanced MRI Techniques for the Ankle.AJR. American journal of roentgenology · 2017
    Review
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  15. Article
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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

7 authors.

Ka-Young ChunDepartment of Radiology, Eulji Hospital, Eulji University, Seoul 01830, Korea.
Yun Sun ChoiDepartment of Radiology, Eulji Hospital, Eulji University, Seoul 01830, Korea.
Seok Hoon LeeDepartment of Radiology, Eulji Hospital, Eulji University, Seoul 01830, Korea.
Jin Su KimDepartment of Orthopedic Surgery, Eulji Hospital, Eulji University, Seoul 01830, Korea.
Ki Won YoungDepartment of Orthopedic Surgery, Eulji Hospital, Eulji University, Seoul 01830, Korea.
Min-Sun JeongDepartment of Radiology, Eulji Hospital, Eulji University, Seoul 01830, Korea.
Dae-Jung KimDepartment of Radiology, Eulji Hospital, Eulji University, Seoul 01830, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the prevalence of deltoid ligament and distal tibiofibular syndesmosis injury on 3T magnetic resonance imaging (MRI) in patients with chronic lateral ankle instability (CLAI). MATERIALS AND

methodsFifty patients (mean age, 35 years) who had undergone preoperative 3T MRI and surgical treatment for CLAI were enrolled. The prevalence of deltoid ligament and syndesmosis injury were assessed. The complexity of lateral collateral ligament complex (LCLC) injury was correlated with prevalence of deltoid or syndesmosis injuries. The diagnostic accuracy of ankle ligament imaging at 3T MRI was analyzed using arthroscopy as a reference standard.

resultsOn MRI, deltoid ligament injury was identified in 18 (36%) patients as follows: superficial ligament alone, 9 (50%); deep ligament alone 2 (11%); and both ligaments 7 (39%). Syndesmosis abnormality was found in 21 (42%) patients as follows: anterior inferior tibiofibular ligament (AITFL) alone, 19 (90%); and AITFL and interosseous ligament, 2 (10%). There was no correlation between LCLC injury complexity and the prevalence of an accompanying deltoid or syndesmosis injury on both MRI and arthroscopic findings. MRI sensitivity and specificity for detection of deltoid ligament injury were 84% and 93.5%, and those for detection of syndesmosis injury were 91% and 100%, respectively.

conclusionDeltoid ligament or syndesmosis injuries were common in patients undergoing surgery for CLAI, regardless of the LCLC injury complexity. 3T MRI is helpful for the detection of all types of ankle ligament injury. Therefore, careful interpretation of pre-operative MRI is essential.

Indexed as

Magnetic Resonance ImagingAdolescentAdultAnkle InjuriesAnkle JointArthroscopyChronic DiseaseFemaleHumansJoint InstabilityLigaments, ArticularMaleMiddle AgedRadiographyYoung Adult3TChronic ankle instabilityDeltoid ligamentLateral collateral ligamentMagnetic resonance imagingSyndesmosis

Identifiers

PMID26356649
PMCPMC4559781

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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.