Evidence map›Paper›PMID 32356045›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020

The ankle ligament reconstruction-return to sport after injury (ALR-RSI) is a valid and reproducible scale to quantify psychological readiness before returning to sport after ankle ligament reconstruction.

François Sigonney, Ronny Lopes, Pierre-Alban Bouché, Elliott Kierszbaum, Aymane Moslemi, Philippe Anract, Alexandra Stein, Alexandre Hardy

Registry-linked trialOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05331365 (Construction and Validation of a Score Evaluating the Residual Instability of the Patient After Ankle Ligamentoplasty - Ankle Go Study), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT05331365 nacompletednot on this mapstarted 2022, after this paper: background citation

Construction and Validation of a Score Evaluating the Residual Instability of the Patient After Ankle Ligamentoplasty - Ankle Go Study

TypeinterventionalSponsorElsanRan2022 to 2023Enrolled130ConditionsAnkle Sprains, Ligament SprainArmsConstruction and evaluation of a composite score evaluating post ankle surgery residual instability by completing questionnaires and undergoing physical tests
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Combining Anterior Talofibular Ligament Ultrasonography With Anterior Drawer Displacement Refines Stratification of Chronic Ankle Instability.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
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  19. The ALR-RSI score can be used to evaluate psychological readiness to return to sport after acute Achilles tendon tear.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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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 5 institutions in 2 countries.

François SigonneyOrthopaedic Department, Cochin University Hospital, AP-HP Paris, Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France. francois.sigonney@gmail.com.
Ronny LopesOrthopaedic Department, Pied Cheville Nantes Atlantique (Santé Atlantique Et Clinique Bretéché), Nantes, France.
Pierre-Alban BouchéOrthopaedic Department, Cochin University Hospital, AP-HP Paris, Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
Elliott KierszbaumOrthopaedic Department, Cochin University Hospital, AP-HP Paris, Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
Aymane MoslemiOrthopaedic Department, Cochin University Hospital, AP-HP Paris, Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
Philippe AnractOrthopaedic Department, Cochin University Hospital, AP-HP Paris, Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
Alexandra SteinOrthopaedic Department, Cochin University Hospital, AP-HP Paris, Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
Alexandre HardyClinique du Sport, 36 boulevard Saint-Marcel, 75005, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRHôpital Cochin · FRClinique du Sport · FRIMT Atlantique · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic ankle instability is the main complication of ankle sprains and requires surgery if non-operative treatment fails. The goal of this study was to validate a tool to quantify psychological readiness to return to sport after ankle ligament reconstruction.

methodsThe form was designed like the anterior cruciate ligament-return to sport after injury scale and "Knee" was replaced by the term "ankle". The ankle ligament reconstruction-return to sport after injury (ALR-RSI) scale was filled by patients who underwent ankle ligament reconstruction and were active in sports. The scale was then validated according to the international COSMIN methodology. The AOFAS and Karlsson scores were used as reference questionnaires.

resultsFifty-seven patients (59 ankles) were included, 27 women. The ALR-RSI scale was strongly correlated with the Karlsson score (r = 0.79 [0.66-0.87]) and the AOFAS score (r = 0.8 [0.66-0.87]). A highly significant difference was found in the ALR-RSI between the subgroup of 50 patients who returned to playing sport and the seven who did not: 68.8 (56.5-86.5) vs 45.0 (31.3-55.8), respectively, p = 0.02. The internal consistency of the scale was high (α = 0.96). Reproducibility of the test-retest was excellent (ρ = 0.92; 95% CI [0.86-0.96]).

conclusionThe ALR-RSI is a valid, reproducible scale that identifies patients who are ready to return to the same sport after ankle ligament reconstruction. This scale may help to identify athletes who will find sport resumption difficult. LEVEL OF EVIDENCE: III.

Indexed as

Surveys and QuestionnairesAnkle InjuriesArthroplastyArthroscopyFemaleFollow-Up StudiesHumansJoint InstabilityLateral Ligament, AnkleMaleReproducibility of ResultsReturn to SportALR-RSIAnkleLigament reconstructionPsychological

Identifiers

PMID32356045
PMCPMC7669765
OpenAlexW3020860939

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.