Evidence map›Paper›PMID 34679480›Full record

ReviewDiagnostics (Basel, Switzerland)2021

Magnetic Resonance Accuracy in the Diagnosis of Anterior Talo-Fibular Ligament Acute Injury: A Systematic Review and Meta-Analysis.

Michela Barini, Domenico Zagaria, Davide Licandro, Sergio Pansini, Chiara Airoldi, Massimiliano Leigheb, Alessandro Carriero

Open access · goldAbstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Recent advances in the management of chronic ankle instability.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025
    Review
  5. Review
  6. Article
  7. Avulsion fracture is associated with more pain after anatomic repair procedure for ATFL injury at the talar side.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. 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

7 authors at 1 institution in 1 country.

Michela BariniDepartment of Radiodiagnostic and Interventional Radiology, AOU Maggiore della Carità, 28100 Novara, Italy.
Domenico ZagariaDepartment of Radiodiagnostic and Interventional Radiology, AOU Maggiore della Carità, 28100 Novara, Italy.
Davide LicandroDepartment of Radiodiagnostic and Interventional Radiology, AOU Maggiore della Carità, 28100 Novara, Italy.
Sergio PansiniDepartment of Radiodiagnostic and Interventional Radiology, AOU Maggiore della Carità, 28100 Novara, Italy.
Chiara AiroldiUnit of Medical Statistics and Epidemiology, Department of Translation Medicine, University of Piemonte Orientale, AOU Maggiore della Carità, 28100 Novara, Italy.ORCID 0000-0002-9114-5816
Massimiliano LeighebOrthopaedics and Traumatology Unit, Department of Health Sciences, University of Piemonte Orientale, AOU Maggiore della Carità, 28100 Novara, Italy.ORCID 0000-0002-7818-2209
Alessandro CarrieroDepartment of Radiodiagnostic and Interventional Radiology, AOU Maggiore della Carità, 28100 Novara, Italy.
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe studies about injury to the anterior talo-fibular ligament (ATFL) are focused mainly on chronic symptoms and chronic instability, and the literature about the accuracy of magnetic resonance imaging (MRI) in acute injuries is quite lacking.

methodsThis systematic review with meta-analysis analyzes the diagnostic accuracy of MRI on acute ATFL injury. Relative studies were retrieved after searching three databases (MEDLINE, SCOPUS, and Cochrane Central Register of Controlled Trails). Eligible studies were summarized. The quality of the included articles was assessed using the revised Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. Data were extracted to calculate pooled sensitivity and specificity of MRI.

resultsSeven studies met our inclusion and exclusion criteria. For MRI, the pooled sensitivities and specificity in diagnosing acute ATFL injury were respectively 1.0 (95% CI: 0.58-1) and 0.9 (95% CI: 0.79-0.96). Pooled LR+ and LR- were respectively 10.4 (95% CI: 4.6-23) and 0 (95% CI: 0-0.82).

conclusionThis systematic review with meta-analysis investigated the accuracy of imaging for the diagnosis of acute ATFL injury. Our results demonstrated that MRI shows high diagnostic accuracy in the diagnosis of acute ATFL lesions. These results suggest that routine MRI in the case of suspected ATFL acute injury may be clinically useful, although this is not done in clinical practice due probably to high cost.

Indexed as

acute ATFL injurydiagnostic accuracylateral ankle traumameta-analysisMRI accuracysystematic review

Identifiers

PMID34679480
PMCPMC8534480
OpenAlexW3201956341

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.