Evidence map›Paper›PMID 30159803›Full record

ArticleInternational orthopaedics2019

Rotator cuff tear characteristics: how comparable are the pre-operative MRI findings with intra-operative measurements following debridement during arthroscopic repair?

Ilker Eren, Hakan Ozben, Caner Gunerbuyuk, Özgür Koyuncu, Murat Serhat Aygün, Edip Hatipoglu, Üstün Aydingöz, Mehmet Demirhan

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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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 3 institutions in 1 country.

Ilker ErenDepartment of Orthopaedics and Traumatology, School of Medicine, Koc University, Istanbul, Turkey. ilker.eren@gmail.com.ORCID 0000-0003-2965-7690
Hakan OzbenDepartment of Orthopaedics and Traumatology, School of Medicine, Koc University, Istanbul, Turkey.
Caner GunerbuyukDepartment of Orthopaedics and Traumatology, School of Medicine, Koc University, Istanbul, Turkey.
Özgür KoyuncuDepartment of Orthopaedics and Traumatology, American Hospital, Istanbul, Turkey.
Murat Serhat AygünDepartment of Radiology, School of Medicine, Koc University, Istanbul, Turkey.
Edip HatipogluDepartment of Radiology, School of Medicine, Koc University, Istanbul, Turkey.
Üstün AydingözDepartment of Radiology, School of Medicine, Hacettepe University, Ankara, Turkey.
Mehmet DemirhanDepartment of Orthopaedics and Traumatology, School of Medicine, Koc University, Istanbul, Turkey.
Koç University · TRAmerikan Hastanesi · TRHacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMagnetic resonance (MRI) is a valuable imaging method which can detect pre-operative rotator cuff tear characteristics accurately. However, tendon degeneration almost always necessitates a certain amount of debridement during arthroscopic repair, which alters tear size and shape. The aim of this study is to question the accuracy of the pre-operative tear size and classification in MRI and its relation to the tear size and type of the debrided tendon during arthroscopic repair.

methodsA retrospective survey was performed to identify shoulders that underwent arthroscopic rotator cuff repair. Rotator cuff tears with an adequate history, a standard pre-operative MRI, and available surgical video records with appropriate measurements were included. Traumatic tears, calcifying tendonitis, isolated subscapularis tears, and revisions were excluded. In total, 60 shoulders' (30 males, 27 females; age 55.2 [35-73]) preoperative MRIs and intra-operative measurements were analyzed by orthopaedic surgeons and radiologists. Tear width and type were recorded. Interdisciplinary and intradisciplinary consistency of measurements and classifications were analyzed. Tear width measured on pre-operative MRI and after debridement were compared.

resultsAverage measured tear width was 9 ± 5.3 mm on MRI. Surgeons (9.98 ± 4.6 mm) measured tears significantly wider than radiologists (7.71 ± 6.6 mm). Radiologists (ICC, 0.930; CI, 0.883-0.959) showed superior consistency on MRI than surgeons (CI, 0.502; CI, 0.105-0.726). Average tear width measured after debridement (29.3 ± 9.6 mm) was significantly higher than tear width measured on pre-operative MRI (p < 0.0001). None of the researchers assessing tear type on pre-operative MRI showed agreement with surgeons assessing intra-operative data.

conclusionsThere were significant differences between the pre-operative tear characteristics on MRI and the debrided tendon characteristics during surgery, which were extensive enough to classify the tear in a different category.

Indexed as

Magnetic Resonance ImagingAdultAgedArthroscopyDebridementFemaleHumansIntraoperative PeriodMaleMiddle AgedPreoperative PeriodRetrospective StudiesRotator CuffRotator Cuff InjuriesMagnetic resonance imagingRotator cuffRotator cuff tearShoulder arthroscopyTear measurementTendon debridement

Identifiers

PMID30159803
OpenAlexW2888855100

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.