Evidence map›Paper›PMID 36247413›Full record

ArticleMuscles, ligaments and tendons journal

Differences at the Achilles Insertion Between Adults with Insertional and Midportion Achilles Tendinopathy as Observed Using Ultrasound.

Nabeel Hamdan Alghamdi, Ryan T Pohlig, Jaclyn Megan Sions, Karin Grävare Silbernagel

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Muscles, ligaments and tendons journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

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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

4 authors at 2 institutions in 2 countries.

Nabeel Hamdan AlghamdiDepartment of Physical Therapy, King Abdulaziz University, Jeddah, Saudi Arabia.
Ryan T PohligBiostatistics Core, University of Delaware; Newark, DE, USA.
Jaclyn Megan SionsDepartment of Physical Therapy, University of Delaware, Newark, DE, USA.
Karin Grävare SilbernagelDepartment of Physical Therapy, University of Delaware, Newark, DE, USA.
University of Delaware · USKing Abdulaziz University · SA

Funding

Recovery of symptoms, function, tendon structure and mechanical properties in patients with Achilles Tendinopathy: A comparison between men and womenR01AR072034 · NIAMS · UNIVERSITY OF DELAWARE · PI GRAVARE SILBERNAGEL, KARIN M E · 2018 to 2022
$2.5M
continuous shear wave elastography as a diagnostic marker for tendinopathyR21AR067390 · NIAMS · UNIVERSITY OF DELAWARE · PI CORTES CORREALES, DANIEL HUMBERTO, GRAVARE SILBERNAGEL, KARIN M E · 2015 to 2016
$322k
NIAMS NIH HHS R01 AR072034NIAMS NIH HHS R21 AR067390
6 · The paper itself

Abstract

Background: The purpose of this study was to determine structural and pathological differences of Achilles tendon insertion between insertional Achilles tendinopathy (IAT) and midportion Achilles tendinopathy (MidAT) in both injured and uninjured sides.

methodsPatients (n=34; 58.8% male) with unilateral Achilles tendinopathy (50% with IAT; 50% with MidAT) were recruited. Median age 52 years and Victorian Institute of Sport Assessment - Achilles (VISA-A) score mean 59, and 17 (12 male) had MidAT, median(range) age of 58(48)years, and VISA-A score mean(SD) 59.1(19.7). Ultrasound imaging was used to evaluate structural measurements at the insertion (insertional length, bone-to-insertion length, and tendon insertion angle), tendon length (calcaneus to soleus), tendon thickness at the calcaneal edge, and the presence of pathological changes (boney deformity and/or calcification). A 2×2 mixed Analysis of Variance (group by side) was used to compare IAT and MidAT groups and injured and uninjured sides.

resultsTendon thickness at the calcaneus on the injured side was significantly greater than the uninjured side in the IAT group but not in the MidAT group (P=.001). VISA-A score was 59.9(18.7) in IAT group and 59.1(19.7) for MidAT group (P=.909). There were no significant group-by-side interactions for structural measurements at insertion site.

conclusionCalcaneal edge tendon thickness was the only significant structural difference observed between involved and uninvolved sides in IAT, although this was not found in in MidAT.

Indexed as

Achilles disordersenthesopathytendon morphologyultrasonographyultrasound imaging

Identifiers

PMID36247413
PMCPMC9563834
OpenAlexW4281878945

What OpenQuestion holds

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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.