Evidence map›Paper›PMID 30800691›Full record

ArticleOrthopaedic journal of sports medicine2019

Lesion Size Measured on MRI Does Not Accurately Reflect Arthroscopic Measurement in Talar Osteochondral Lesions.

Youichi Yasui, Charles P Hannon, Ethan J Fraser, Jakob Ackermann, Lorraine Boakye, Keir A Ross, Gavin L Duke, Yoshiharu Shimozono, John G Kennedy

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Weight-Bearing CT for Diseases around the Ankle Joint.Diagnostics (Basel, Switzerland) · 2024
    Review
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  9. Article
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  17. Article
  18. Review
  19. Osteochondral Lesions of the Tibial Plafond: A Systematic Review.Orthopaedic journal of sports medicine · 2021
    Review
  20. Review
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

9 authors at 4 institutions in 2 countries.

Youichi YasuiHospital for Special Surgery, New York, New York, USA.
Charles P HannonHospital for Special Surgery, New York, New York, USA.
Ethan J FraserHospital for Special Surgery, New York, New York, USA.
Jakob AckermannHospital for Special Surgery, New York, New York, USA.
Lorraine BoakyeHospital for Special Surgery, New York, New York, USA.
Keir A RossHospital for Special Surgery, New York, New York, USA.
Gavin L DukeEast River Medical Imaging, New York, New York, USA.
Yoshiharu ShimozonoNYU Langone Health, New York, New York, USA.
John G KennedyNYU Langone Health, New York, New York, USA.
Hospital for Special Surgery · USNYU Langone Health · USRiverview Medical Center · USTeikyo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLesion size is a major determinant of treatment strategy for osteochondral lesions of the talus (OLTs). Although magnetic resonance imaging (MRI) is commonly used in the preoperative evaluation of OLTs, the reliability of the MRI measurement compared with the arthroscopic measurement is unknown. PURPOSE: To compare preoperative lesion size measured on MRI versus intraoperative lesion size measured during arthroscopy. STUDY

designCohort study (diagnosis); Level of evidence, 2.

methodsWe retrospectively reviewed a consecutive series of patients treated with bone marrow stimulation for OLTs. The diameter of the lesion was measured at its widest point in 2 planes, and MRI measurements were compared with those made during arthroscopy using a custom-made graduated probe.

resultsA total of 39 patients with 45 OLTs were analyzed. Mean ± SD area measurements on MRI were significantly greater than the equivalent arthroscopic measurements (42.2 ± 30.5 vs 28.6 ± 23.1 mm

conclusionIn a majority of lesions, MRI overestimated OLT area and diameter compared with arthroscopy. Surgeons should be aware of the discrepancies that can exist between MRI and arthroscopic measurements, as these data are important in making treatment decisions and educating patients.

Indexed as

anklearthroscopyarticular cartilagedefect sizemagnetic resonance imagingosteochondral lesions of the talus

Identifiers

PMID30800691
PMCPMC6378450
OpenAlexW2912970412

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.