Evidence map›Paper›PMID 35655282›Full record

ArticleBMC sports science, medicine & rehabilitation2022

Can MRI knee joint measurements predict the population at risk of ACL injury?

Mohammad Hamdan, Bassem Haddad, Mohammad Ali Alshrouf, Muayad I Azzam, Ula Isleem, Reem Hamasha, Omar M Albtoush, Muna Tayel Alhusban, Nidaa Mubarak, Saif Aldeen Alryalat

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Article in BMC sports science, medicine & rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

10 authors.

Mohammad HamdanDivision of Orthopaedics, Department of Special Surgery, School of Medicine, The University of Jordan, Amman, Jordan.ORCID http://orcid.org/0000-0003-2382-5585
Bassem HaddadDivision of Orthopaedics, Department of Special Surgery, School of Medicine, The University of Jordan, Amman, Jordan.ORCID http://orcid.org/0000-0001-7246-2384
Mohammad Ali AlshroufThe School of Medicine, The University of Jordan, Queen Rania Street, Amman, 11942, Jordan. M.Alshrouf@outlook.com.ORCID http://orcid.org/0000-0003-3806-2859
Muayad I AzzamThe School of Medicine, The University of Jordan, Queen Rania Street, Amman, 11942, Jordan.ORCID http://orcid.org/0000-0002-2046-8343
Ula IsleemDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Reem HamashaThe School of Medicine, The University of Jordan, Queen Rania Street, Amman, 11942, Jordan.
Omar M AlbtoushDepartment of Radiology, University of Jordan, Amman, Jordan.
Muna Tayel AlhusbanThe School of Medicine, The University of Jordan, Queen Rania Street, Amman, 11942, Jordan.
Nidaa MubarakDepartment of Radiology, University of Jordan, Amman, Jordan.
Saif Aldeen AlryalatDepartment of Special Surgery, Division of Ophthalmology, The University of Jordan, Amman, Jordan.ORCID http://orcid.org/0000-0001-5588-9458

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnterior cruciate ligament (ACL) injuries have been increasing significantly over time. The relationship between the ACL injury and the knee joint structures is poorly understood. The purpose of this study is to examine whether the measurements of different structures in the knee joint are linked with ACL injury in affected patients.

methodsThis retrospective case-control study included patients who suffered from ACL tears and underwent magnetic resonance imaging (MRI). A control group of patients with no knee pathologies on MRI was included. Fourteen knee variables, including lateral meniscus (LM) posterior horn height, length, depth, and volume; medial meniscus (MM) posterior horn height, length, depth, and volume; lateral and medial (MFC) femoral condyle sphere diameter; lateral and medial tibial plateau length; and patella tendon horizontal and vertical diameter, were collected. A multivariate logistic regression including LM posterior horn depth, MM posterior horn length, MM volume, MFC sphere diameter, and patella tendon horizontal diameter and receiver operating characteristic curve, was used to compare the two groups.

resultsA total of 85 patients were included in our study; 54 suffered from ACL injuries and 31 as a control group with normal knee MRI. Logistic regression revealed that increased LM posterior horn depth (OR = 1.27; 95% CI = 1.03-1.56; p = 0.028), decreased MM posterior horn length (OR = 0.71; 95% CI = 0.55-0.93; p = 0.013), and MFC sphere diameter (OR = 1.20; 95% CI = 1.01-1.43; p = 0.035) were independent risk factors for ACL rupture. The MFC sphere diameter yielded the highest area under the curve: 0.747 (95% CI, 0.632-0.862). No difference was found in the other measurements between the two groups.

conclusionsConcerning the difference in anatomical variations, the lateral meniscus posterior horn depth and medial femoral condyle sphere diameter were higher, while medial meniscus posterior horn length was lower in patients with an ACL injury. These structural knee measurements could have a possible increase in the likelihood of sustaining an ACL injury and can be used by clinicians to predict ACL injury.

Indexed as

ACL tearsAnterior cruciate ligamentKnee morphologyMagnetic resonance imagingRisk factor

Identifiers

PMID35655282
PMCPMC9161517

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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.