Evidence map›Paper›PMID 36192527›Full record

ArticleJournal of experimental orthopaedics2022

In-vivo assessment of meniscal movement in the knee joint during internal and external rotation under load.

Andreas Fuchs, Joachim Georgii, Elham Taghizadeh, Stefan Heldmann, Thomas Lange, Sebastian F Bendak, Markus Siegel, Tayfun Yilmaz, Hagen Schmal, Kaywan Izadpanah

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Validation of a Finite Element Simulation for Predicting Individual Knee Joint Kinematics.IEEE open journal of engineering in medicine and biology · 2024
    Article
  6. 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

10 authors.

Andreas FuchsDepartment of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Albert Ludwigs University Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany. andreas.fuchs@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0002-0816-8188
Joachim GeorgiiFraunhofer Institute for Digital Medicine MEVIS, Max-von-Laue Str.2, 28359, Bremen, Germany.
Elham TaghizadehFraunhofer Institute for Digital Medicine MEVIS, Max-von-Laue Str.2, 28359, Bremen, Germany.
Stefan HeldmannFraunhofer Institute for Digital Medicine MEVIS, Max-von-Laue Str.2, 28359, Bremen, Germany.
Thomas LangeDepartment of Radiology, Medical Physics, Medical Center, Faculty of Medicine, University of Freiburg, University of Freiburg, Killianstrasse 5a, 79106, Freiburg, Germany.
Sebastian F BendakDepartment of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Albert Ludwigs University Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.
Markus SiegelDepartment of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Albert Ludwigs University Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.
Tayfun YilmazDepartment of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Albert Ludwigs University Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.
Hagen SchmalDepartment of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Albert Ludwigs University Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.
Kaywan IzadpanahDepartment of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Albert Ludwigs University Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe menisci transmit load between femur and tibia and thus play a crucial role in the functionality of the knee joint. Knee joint movements have a major impact on the position of the menisci. However, these meniscus movements have not yet been assessed in a validated setting. The objective of this study is to evaluate the meniscal movements in MRI with prospective motion correction based on optical tracking under loading via internal and external tibial torques. 

methodsThirty-one healthy volunteers were recruited for this study. MRI scans were performed in internal and external rotation induced by a torque of 5 Nm, using a 3 T MRI. A validated software used the generated images to calculate the absolute meniscus movements as the sum of all vectors. Differences between subgroups were analyzed by using a Wilcoxon signed-rank test. 

resultsThe MM shows an average movement of 1.79 mm in anterior-lateral direction under internal rotation and 6.01 mm in posterior-lateral direction under external rotation, whereas the LM moves an average of 4.55 mm in posterior-medial direction under internal rotation and 3.58 mm in anterior-medial direction under external rotation. When comparing the overall meniscus movements between internal and external rotation, statistically significant differences were found for total vector length and the direction of meniscus movements for medial and lateral meniscus. The comparison between medial and lateral meniscus movements also showed statistically significant differences in all categories for internal and external rotation.

conclusionsOverall, the MM and LM movements in internal and external rotation differ significantly in extent and direction, although MM and LM movements in opposite directions during internal and external rotation can be observed. In internal rotation, most meniscus movements were found in the IHLM. In external rotation, the IHMM showed the greatest mobility. Segment analysis of internal vs. external rotation showed less difference in LM movements than MM. LEVEL OF EVIDENCE: Level II.

Indexed as

Dynamic MRI EvaluationInternal and External RotationIn-vivo MRIMeniscal Movement

Identifiers

PMID36192527
PMCPMC9530101

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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.