Evidence map›Paper›PMID 36806565›Full record

ArticleEuropean radiology2023

Frequency of anterolateral ligament tears and ramp lesions in patients with anterior cruciate ligament tears and associated injuries indicative for these lesions-a retrospective MRI analysis.

Nikolaus Stranger, Christian Kaulfersch, Georg Mattiassich, Jürgen Mandl, Peter A Hausbrandt, Dieter Szolar, Helmut Schöllnast, Manfred Tillich

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

Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
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  5. [Modified Lemaire procedure in anterior cruciate ligament reconstruction with highly positive pivot shift test].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
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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

8 authors at 3 institutions in 1 country.

Nikolaus StrangerDivision of General Radiology, Department of Radiology, Medical University of Graz, Graz, Austria.
Christian KaulferschDepartment of Trauma Surgery, Klinik Diakonissen Schladming, Schladming, Austria.
Georg MattiassichDepartment of Trauma Surgery, Klinik Diakonissen Schladming, Schladming, Austria.
Jürgen MandlTrauma Hospital Graz, Graz, Austria.
Peter A HausbrandtTrauma Hospital Graz, Graz, Austria.
Dieter SzolarDiagnostikum Graz, Graz, Austria.
Helmut SchöllnastDivision of General Radiology, Department of Radiology, Medical University of Graz, Graz, Austria. helmut.schoellnast@medunigraz.at.ORCID http://orcid.org/0000-0003-1442-9118
Manfred TillichDiagnostikum Graz, Graz, Austria.
Geriatrische Gesundheitszentren · ATGraz University Hospital · ATMedical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the frequency of anterolateral ligament (ALL) tears and ramp lesions (RL) detected with MRI in patients with anterior cruciate ligament (ACL) tears and to describe associated injuries indicative for these lesions.

methodsIn this retrospective study, 164 patients with surgically verified ACL tears were included. Preoperative MRI scans were reviewed for ALL tears and different types of RL. All coexisting meniscal tears, tears of the medial (MCL) and lateral collateral band (LCL), and posterior-medial tibial bone marrow edema (BME) were recorded. The frequency of ALL tears and RL was assessed and coexisting injuries were correlated using Pearson's chi-square test. A p < 0.05 was defined as statistically significant. In cases of multiple testing, Bonferroni's correction was applied.

resultsALL tears and RL combined were detected in 28 patients (17.1%), ALL tears in 48 patients (29.3%), and RL in 54 patients (32.9%) which were significantly associated to each other. ALL tears were significantly associated with tears of the posterior horn of the lateral meniscus (PHLM), BME, and with tears of the LCL and MCL. RL were significantly associated with tears of the posterior horn of the medial (PHMM) and PHLM, with BME, and with tears of the LCL.

conclusionsACL tears are associated with RL or ALL tears in about one-third of cases and with both lesions combined in about one-fifth of cases. ALL tears and RL are significantly associated with additional posttraumatic injuries, which can thus be indicative of these lesions. KEY POINTS: • ACL tears were associated with ramp lesions or ALL tears in about one-third of the cases. • Ramp lesions and ALL tears were significantly associated with each other, tear in the PHLM, tear in the LCL, and BME. • ALL tears were more frequently associated with instable classified ramp lesion type 4b and type 5.

Indexed as

Anterior Cruciate Ligament InjuriesTibial Meniscus InjuriesHumansLigamentsMagnetic Resonance ImagingMenisci, TibialRetrospective StudiesAnterior cruciate ligament tearsAnterolateral ligamentKnee jointMagnetic resonance imagingRamp lesion

Identifiers

PMID36806565
PMCPMC10290041
OpenAlexW4321352699

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.