Evidence map›Paper›PMID 32613301›Full record

ArticleInternational orthopaedics2021

Importance of shear-wave elastography in prediction of Achilles tendon rupture.

Gordana Ivanac, Domagoj Lemac, Vilma Kosovic, Kristina Bojanic, Tomislav Cengic, Ivo Dumic-Cule, Marko Pecina, Boris Brkljacic

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Article in International orthopaedics, 2021. 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 24% 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, 14 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 4 institutions in 1 country.

Gordana IvanacDepartment of Diagnostic and Interventional Radiology, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.ORCID https://orcid.org/0000-0001-8419-1534
Domagoj LemacDepartment of Orthopaedic and Trauma Surgery, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.ORCID https://orcid.org/0000-0002-8438-5221
Vilma KosovicDepartment of Radiology,, General Hospital Dubrovnik, Dubrovnik, Croatia.ORCID https://orcid.org/0000-0002-6917-6325
Kristina BojanicDepartment of Biophysics and Radiology, Faculty of Medicine Osijek, J. J. Strossmayer University of Osijek, 31000, Osijek, Croatia.ORCID https://orcid.org/0000-0003-4473-5706
Tomislav CengicDepartment of Orthopaedic and Trauma Surgery, University Hospital Center "Sisters of Mercy", Draskoviceva 19, 10000, Zagreb, Croatia.ORCID https://orcid.org/0000-0002-3211-9925
Ivo Dumic-CuleDepartment of Diagnostic and Interventional Radiology, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia. ivodc1@gmail.com.ORCID https://orcid.org/0000-0002-2005-6402
Marko PecinaSchool of Medicine, University of Zagreb, Salata 3, 10000, Zagreb, Croatia.ORCID https://orcid.org/0000-0002-8537-1761
Boris BrkljacicDepartment of Diagnostic and Interventional Radiology, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.ORCID https://orcid.org/0000-0002-5353-5821
University of Zagreb · HRUniversity Hospital Dubrava · HRUniversity of Dubrovnik · HRUniversity of Osijek · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt was demonstrated that about 6% of patients with a ruptured Achilles tendon experience the rupture of contralateral tendon in the future; the aim of this study was to estimate the risk for rupture of contralateral tendon in patients who underwent surgical reconstruction of ruptured Achilles tendon by using subjective questionnaires and shear-wave elastography.

methodsTwenty-four patients who underwent surgical repair of the ruptured Achilles tendon and twelve age-matched healthy controls were examined with ultrasound SWE. Functional outcomes were assessed with American Orthopedic Foot and Ankle Society (AOFAS) scoring system and subjective rating system which we introduced and validated.

resultsThe elasticity of injured tendon was markedly decreased (by 42%) compared to the contralateral tendon of the patient, as expected. Both AOFAS score and our novel subjective assessment scale positively correlate with ultrasound SWE values in ruptured Achilles tendons. The elasticity of contralateral Achilles tendons in patients was 23% lower than among healthy individuals.

conclusionIrrespective of the lack of difference in the subjective feeling assessed by AOFAS, the contralateral tendon in the patients with reconstructed Achilles tendon has significantly lower stiffness than healthy individuals. Therefore, contralateral tendons in patients who suffered from rupture are more prone to future ruptures.

Indexed as

Achilles TendonElasticity Imaging TechniquesTendon InjuriesHumansRuptureUltrasonographyAchilles tendonPreventionRuptureShear wave elastography

Identifiers

PMID32613301
OpenAlexW3040361467

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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.