Evidence map›Paper›PMID 33834257›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Ipsilateral patellofemoral morphological abnormalities are more severe than those of contralateral joints in patients with unilateral patellar dislocation.

Jiaxing Chen, Xiao Huang, Zijie Xu, Hua Zhang, Aiguo Zhou, Pei Zhao, Lifeng Yin

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 35% 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

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
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  4. Review
  5. Patients with bilateral patellar instability have multiple and symmetric risk factors in each knee.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

7 authors at 1 institution in 1 country.

Jiaxing ChenDepartment of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Xiao HuangDepartment of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Zijie XuDepartment of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Hua ZhangDepartment of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Aiguo ZhouDepartment of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. zhouaiguo@hospital.cqmu.edu.cn.ORCID http://orcid.org/0000-0003-1717-101X
Pei ZhaoDepartment of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Lifeng YinDepartment of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
The Affiliated Yongchuan Hospital of Chongqing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the differences in anatomic parameters between ipsilateral dislocated knees and contralateral non-dislocated knees in patients with unilateral patellar dislocation and to identify any variations in ipsilateral knees contributing to contralateral anatomic abnormalities.

methodsA total of 82 patients with unilateral patellar dislocation from 2016 to 2019 were retrospectively evaluated. Bilateral anatomic factors, including the tibial tubercle to trochlear groove (TT-TG) distance, lower limb rotational deformities, trochlear dysplasia, patella tilt, and patellar height, were assessed by CT.

resultsThe study included 46 patients (32 females and 14 males, mean age ± SD 20.5 ± 6.8). The interobserver reliability of each parameter showed excellent agreement. The ipsilateral TT-TG distance (P = 0.004), patella tilt (P = 0.001), and patellar height (P = 0.01) were greater in the ipsilateral knees than in the contralateral knees. The lateral trochlea inclination (LTI) in the contralateral knees was larger than that in the ipsilateral knees (P = 0.022). There was a significant difference in the distribution of trochlear dysplasia of Dejour between the ipsilateral knees (dislocated side) and the contralateral knees (P = 0.036). However, bilateral femoral and/or tibial torsion, and bilateral knee joint rotation did not differ significantly. Binary logistic regression showed that only ipsilateral LTI revealed significant ORs of 8.83 (P = 0.016) and 7.64 (P = 0.018) with regard to contralateral abnormal tibial torsion and LTI, respectively.

conclusionIn patients with unilateral patellar dislocation, the ipsilateral TT-TG distance, patella tilt, and patellar height values were larger in the ipsilateral knees than in the contralateral knees, and trochlear dysplasia was more severe in the ipsilateral joints. The risks of contralateral pathological tibial torsion and LTI were 8.8- and 7.6-fold higher, respectively, in patients with abnormal ipsilateral LTI. LEVEL OF EVIDENCE: Level IV.

Indexed as

Joint InstabilityPatellar DislocationPatellofemoral JointFemaleHumansKnee JointMalePatellaReproducibility of ResultsRetrospective StudiesTibiaPatella altaPatellar dislocationTrochlear dysplasiaTT-TG distance

Identifiers

PMID33834257
OpenAlexW3147400499

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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.