Evidence map›Paper›PMID 33215303›Full record

ArticleArchives of orthopaedic and trauma surgery2021

Sonographic evaluation of lateral meniscal extrusion: implementation and validation.

Philipp W Winkler, Robert Csapo, Guido Wierer, Caroline Hepperger, Bernhard Heinzle, Andreas B Imhoff, Christian Hoser, Christian Fink

Abstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Arthroscopic Repair of Extruded Meniscus Tears: Impact on Symptom Relief and Functional Improvement - A 2-Year Follow-Up Study.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  9. The Role of Ultrasound in the Diagnosis and Treatment of Meniscal Injuries.Current reviews in musculoskeletal medicine · 2024
    Review
  10. Effect of inside-out meniscal repair on meniscal dimension in meniscal tear patients.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. 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

8 authors.

Philipp W WinklerGelenkpunkt, Sports- and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria. ph.winkler@tum.de.ORCID http://orcid.org/0000-0002-3997-1010
Robert CsapoGelenkpunkt, Sports- and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.
Guido WiererResearch Unit for Orthopaedic Sports Medicine and Injury Prevention, Institute for Sports Medicine, Alpine Medicine and Health Tourism (ISAG), UMIT, Eduard-Wallnöfer-Zentrum 1, 6060, Hall in Tirol, Austria.
Caroline HeppergerGelenkpunkt, Sports- and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.
Bernhard HeinzleDepartment of Radiology, MRT-CT Diagnostics Wörgl, Fritz-Atzl-Str. 8, 6300, Wörgl, Austria.
Andreas B ImhoffDepartment for Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Christian HoserGelenkpunkt, Sports- and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.
Christian FinkGelenkpunkt, Sports- and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMeniscal extrusion (ME) is an important indicator of and prognostic factor for various knee pathologies. To date, no standardized protocol for the ultrasound-based examination of lateral ME exists. The purpose of the present study was to test the reliability and validity of lateral ME measurements using a standardized ultrasound-based examination protocol. MATERIALS AND

methodsA group consisting of 11 healthy volunteers (Group I, male and female, 18-45 years) as well as a group of 10 consecutive patients who had undergone all-inside lateral meniscal radial tear repair were included (Group II, male and female, 23-43 years). Lateral ME, the main outcome parameter, was measured by ultrasound (US; both groups) and magnetic resonance imaging (MRI; Group II only). Both knees of all subjects were examined in an unloaded state and under axial compression of the knee (50% of body weight). Repeated measurements obtained in Group I by 2 observers were used for reliability testing, and the validity of US was assessed through comparison with MRI data (Group II).

resultsA total of 66 US images of Group I, obtained by each observer, were analyzed for reliability testing. Forty US and MR images of Group II were assessed for validation. Results showed good interrater (ICC = 0.904) and excellent intrarater (ICC = 0.942) reliability of US-based measurements of lateral ME. Agreement with MRI results was poor (ICC = 0.439), with US systematically overestimating results by 1.1 mm on average.

conclusionsUltrasound is a reliable, quick and cost-effective technique for lateral ME measurement, but results are not readily comparable with MRI.

trial registrationThe study was registered in the European Union Clinical Trials Register (EudraCT-Number: 2017-005037-24).

Indexed as

UltrasonographyAdultFemaleHumansKnee JointMagnetic Resonance ImagingMaleMenisci, TibialProspective StudiesReproducibility of ResultsTibial Meniscus InjuriesDynamic extrusionDynamic ultrasoundLateral meniscal extrusionStress MRIUltrasoundValidation

Identifiers

PMID33215303
PMCPMC7886729

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.