Evidence map›Paper›PMID 31115619›Full record

ArticleEuropean radiology2019

Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker?

Rik B J Kraan, Laura S Kox, Marieke A Mens, P Paul F M Kuijer, Mario Maas

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Article
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

5 authors at 3 institutions in 3 countries.

Rik B J KraanAmsterdam University Medical Center, Department of Radiology & Nuclear Medicine, Amsterdam Movement Sciences, University of Amsterdam, G1-229, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. r.b.kraan@amc.uva.nl.ORCID http://orcid.org/0000-0003-0022-8729
Laura S KoxAmsterdam University Medical Center, Department of Radiology & Nuclear Medicine, Amsterdam Movement Sciences, University of Amsterdam, G1-229, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Marieke A MensAmsterdam University Medical Center, Department of Radiology & Nuclear Medicine, Amsterdam Movement Sciences, University of Amsterdam, G1-229, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
P Paul F M KuijerCoronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centres, University of Amsterdam, Amsterdam, The Netherlands.
Mario MaasAmsterdam University Medical Center, Department of Radiology & Nuclear Medicine, Amsterdam Movement Sciences, University of Amsterdam, G1-229, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
University Medical Center · USInternational Olympic Committee · CHUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the use of quantitative volume assessment to identify the presence and extent of stress-related changes of the distal radial physis in gymnasts with suspected physeal injury, asymptomatic gymnasts, and non-gymnasts.

methodsSymptomatic gymnasts with clinically suspected distal radial physeal injury, asymptomatic gymnasts, and non-gymnasts (n = 69) were included and matched on skeletal age and sex. Volume measurements were performed on coronal water selective cartilage MRI images by creating three-dimensional physeal reconstructions semi-automatically using active-contour segmentation based on image-intensity thresholding. Inter- and intra-rater reliability of the measurements were assessed using intra-class correlation coefficients (ICC) for absolute agreement.

resultsTwenty-seven symptomatic-, 18 asymptomatic-, and 24 non-gymnasts were included with a median age of 13.9 years (interquartile range (IQR) 13.0-15.0 years). Median physeal volume was significantly increased (p < 0.05) in symptomatic- (971 mm

conclusionIncreased volume of the distal radial physis can reliably be assessed and is a sign of physeal stress that can be present in both symptomatic- and asymptomatic gymnasts, but gymnasts with suspected physeal injury showed larger volume increases. Future studies should explore if volume assessment can be used to (early) identify athletes with or at risk for physeal stress injuries of the wrist. KEY POINTS: • The volume of the distal radial physis can be reliably assessed by creating three-dimensional physeal reconstructions. • Stress-related volume increase of the distal radial physis is present in symptomatic and asymptomatic gymnasts. • Gymnasts with clinically suspected physeal injury showed larger volume increases compared with asymptomatic gymnasts and may therefore be a valuable addition in the (early) diagnostic workup of physeal stress injuries.

Indexed as

AdolescentBiomarkersCase-Control StudiesChildFemaleGymnasticsHumansMagnetic Resonance ImagingMaleRadiusReproducibility of ResultsWrist InjuriesBiomarkersAthletic injuriesGrowth plateGymnasticsMagnetic resonance imagingWrist

Identifiers

PMID31115619
PMCPMC6795914
OpenAlexW2945446709

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.