Evidence map›Paper›PMID 35601091›Full record

ArticleFoot & ankle orthopaedics2022

Return to Play After Isolated Syndesmotic Ligamentous Injury in Athletes: A Systematic Review and Meta-analysis.

Motasem Salameh, Ashraf T Hantouly, Abdallah Rayyan, Jood Dabbas, Ahmad A Toubasi, Davis A Hartnett, Brad Blankenhorn

Open access · goldAbstract read
In one paragraph

Article in Foot & ankle orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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 3 institutions in 3 countries.

Motasem SalamehDepartment of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, East Providence, RI, USA.ORCID https://orcid.org/0000-0002-1369-8837
Ashraf T HantoulyDepartment of Orthopedic Surgery, Hamad Medical Corporation, Doha, Qatar.
Abdallah RayyanFaculty of Medicine, University of Jordan, Amman, Jordan.
Jood DabbasFaculty of Medicine, University of Jordan, Amman, Jordan.
Ahmad A ToubasiFaculty of Medicine, University of Jordan, Amman, Jordan.
Davis A HartnettDepartment of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, East Providence, RI, USA.ORCID https://orcid.org/0000-0003-3526-1465
Brad BlankenhornDepartment of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, East Providence, RI, USA.
Brown University · USUniversity of Jordan · JOHamad Medical Corporation · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Syndesmotic ankle sprains are common and challenging injuries for athletes. The management of such injuries is controversial, with a paucity of evidence on treatment protocols with unpredictability regarding the time lost to participate in sports following injury. The present study seeks to review and report the return to play (RTP) time and examine the outcomes and complications of ankle syndesmotic sprains in the athletic population. Methods: PubMed, Cochrane Library, and Google Scholar were queried in August 2021 for case series, cohorts, and randomized controlled trials that evaluated return to play time after ankle syndesmotic sprains. The primary outcomes were the rate and time to return to play after syndesmotic ankle sprains for both surgical and nonsurgical treatment. Secondary outcomes included short-term complications and recurrence. Results: Eighteen articles were eligible for meta-analysis with a total of 1133 syndesmotic sprains. The overall RTP was 99% (95% CI 0.96, 1.00), the overall mean RTP was 52.32 days (95% CI 39.01, 65.63). Pooled RTP for surgically treated patients was 70.94 days (95% CI 47.04, 94.85), whereas it was 39.33 days (95% CI 28.78, 49.88) for nonsurgically treated cases. A low incidence of recurrence and complications were reported. Conclusion: This article reports a high rate of RTP after syndesmotic sprains. Grade of injury and surgical vs conservative management can affect the time to RTP in high-level athletes.

Indexed as

ankleathletesmeta-analysisreturn to playsyndesmosis

Identifiers

PMID35601091
PMCPMC9121478
OpenAlexW4280592376

What OpenQuestion holds

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LicenceCC BY-NC
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.