Evidence map›Paper›PMID 31401682›Full record

ArticleSkeletal radiology2020

Do magnetic resonance imaging abnormalities of the non-dominant wrist correlate with ulnar-sided wrist pain in elite tennis players?

Sidney M Levy, Machar Reid, Anne-Marie Montgomery, Elissa Botterill, Stephanie A Kovalchik, Melanie Omizzolo, Frank Malara, Timothy O Wood, Gregory A Hoy, Andrew H Rotstein

Abstract read
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Article in Skeletal radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 8 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

10 authors at 4 institutions in 1 country.

Sidney M LevyVictoria House Medical Imaging, I-MED Radiology Network, Melbourne, Victoria, Australia. sidney.levy@i-med.com.au.ORCID http://orcid.org/0000-0003-2331-5251
Machar ReidTennis Australia, Melbourne, Victoria, Australia.
Anne-Marie MontgomeryTennis Australia, Melbourne, Victoria, Australia.
Elissa BotterillVictoria House Medical Imaging, I-MED Radiology Network, Melbourne, Victoria, Australia.
Stephanie A KovalchikTennis Australia, Melbourne, Victoria, Australia.
Melanie OmizzoloTennis Australia, Melbourne, Victoria, Australia.
Frank MalaraVictoria House Medical Imaging, I-MED Radiology Network, Melbourne, Victoria, Australia.
Timothy O WoodTennis Australia, Melbourne, Victoria, Australia.
Gregory A HoyMelbourne Orthopaedic Group, Melbourne, Victoria, Australia.
Andrew H RotsteinVictoria House Medical Imaging, I-MED Radiology Network, Melbourne, Victoria, Australia.
Sports Medicine Australia · AUMonash Health · AUMonash University · AUThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUlnar-sided injuries of the non-dominant wrist are common in elite tennis players that use the double-handed backhand technique. This study aimed to define the relationship between ulnar-sided wrist pain in symptomatic and asymptomatic elite tennis players, and the presence of abnormalities on magnetic resonance imaging (MRI). MATERIALS AND

methodsFourteen symptomatic tennis players, 14 asymptomatic tennis players, and 12 healthy controls who did not play tennis, were analyzed prospectively, after undergoing MRI of their non-dominant wrist. Five anatomical regions were analyzed, thought to relate to ulnar-sided wrist pain. These consisted of the triangular fibrocartilage complex (TFCC), ulnar collateral ligament (UCL), extensor carpi ulnaris tendon (ECU), osseous-articular structures, and ganglia. Images were independently reviewed by two blinded musculoskeletal radiologists.

resultsNon-dominant, ulnar-sided, wrist pain in elite tennis players was not statistically significantly associated with an increased number of MRI abnormalities when compared with asymptomatic tennis players (p > 0.05). However, some evidence of statistical association was seen with an increased prevalence of ECU tendon abnormalities (OR = 8.0, 95% CI = (0.74, 20.00), p = 0.07). A statistically significant increase in MRI abnormalities of osseous structures (OR = 15.1, 95% CI = (1.56, 656.05), p = 0.02) and the dorsal radioulnar ligament (DRUL) (OR = 12.5, 95% CI = (2.15, 111.11), p = 0.03), was observed in symptomatic players compared with controls.

conclusionsNon-dominant, ulnar-sided, wrist pain in a subgroup of elite tennis players using a double-handed backhand technique is not associated with a statistically significant increased prevalence of MRI abnormalities when compared with asymptomatic tennis players, other than some evidence of statistical association with ECU tendon abnormalities. Therefore, significance of MRI abnormalities should be interpreted in the context of clinical findings.

Indexed as

Magnetic Resonance ImagingAdultArthralgiaCase-Control StudiesFemaleHumansMalePain MeasurementProspective StudiesTendinopathyTennisUlnaWestern AustraliaWrist InjuriesMR imaging abnormalitiesNon-dominant wristTennis playersUlnar-sided wrist pain

Identifiers

PMID31401682
OpenAlexW2968123198

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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.