Evidence map›Paper›PMID 34660850›Full record

ArticleEuropean journal of radiology open2021

Association of markers of patellofemoral maltracking to cartilage damage and bone marrow lesions on MRI: Data from the 2016 Olympic Games of Rio De Janeiro.

Mohamed Jarraya, Frank W Roemer, Lars Engebretsen, Andrew J Kompel, Kirstin M Small, Stacy E Smith, Ali Guermazi

Open access · goldAbstract read
In one paragraph

Article in European journal of radiology open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 50% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Magnetic resonance imaging is able to detect patellofemoral focal cartilage injuries: a systematic review with meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Pooled it
  2. Traumatic fracture of Kager's fat pad: a case report.BMC musculoskeletal disorders · 2025
    Article
  3. Article
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 4 institutions in 4 countries.

Mohamed JarrayaDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Frank W RoemerDepartment of Radiology, Boston University School of Medicine, Boston, MA, United States.
Lars EngebretsenMedical and Scientific Department, International Olympic Committee, Lausanne, Switzerland.
Andrew J KompelDepartment of Radiology, Boston University School of Medicine, Boston, MA, United States.
Kirstin M SmallDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, United States.
Stacy E SmithDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, United States.
Ali GuermaziDepartment of Radiology, Boston University School of Medicine, Boston, MA, United States.
Boston University · USBrigham and Women's Hospital · USHarvard University · USOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatellofemoral joint (PFJ) disease is a common ailment in elite athletes. Our aim is to report the frequency of superolateral Hoffa's fat pad (SHFP) edema, and PFJ cartilage damage and bone marrow lesions (BML), among Olympian athletes, and to study the association between measurements of trochlear morphology and vertical patellar position and a) PFJ cartilage damage or BML, and b) SHFP edema.

methodsAll knee MRI, performed in the Olympic Village and polyclinics, of participating athletes in the 2016 Olympic Games of Rio de Janeiro were included. MRI were scored for PFJ cartilage damage and BML, and SHFP edema. Trochlear morphology measurements included sulcus angle, trochlear angle, lateral trochlear inclination, and medial trochlear inclination. Insall-Salvati ratio was also assessed.

resultsOne hundred twenty-one knee MRIs were included (62 female, 51.2 %). The highest frequencies of PFJ cartilage damage, combination of PFJ cartilage damage and BML, and SHFP edema were found among Beach Volleyball and Volleyball athletes. SHFP edema was more common among female compared to male Olympian athletes. We found no statistically significant associations between different measurements of trochlear morphology/vertical patellar position, and 1. SHFP edema, and 2. PFJ cartilage damage/BML.

conclusionSHFP edema and the combination of PFJ cartilage damage and BML are highly frequent among Olympic athletes especially those competing in Beach volleyball and Volleyball. SHFP edema is more common among female athletes. Further studies are needed to determine whether PFJ cartilage damage has a stronger association to sports disciplines rather than trochlear morphology.

Indexed as

AthletesBML, bone marrow lesionBone marrow lesionCartilageIOC, International Olympic CommitteeKneeLTI, lateral trochlear inclinationMaltrackingMTI, medial trochlear inclinationOA, osteoarthritisPFJ, patellofemoral jointSA, sulcus angleSHFP, superolateral Hoffa’s fat padSuperolateral Hoffa’s fat pad edemaTA, trochlear angle

Identifiers

PMID34660850
PMCPMC8502704
OpenAlexW3201926040

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.