Evidence map›Paper›PMID 37269350›Full record

ArticleArchives of orthopaedic and trauma surgery2023

The influence of distribution, severity and volume of posttraumatic bone bruise on functional outcome after ACL reconstruction for isolated ACL injuries.

Bastian Mester, Patric Kröpil, Tobias Ohmann, Christoph Schleich, Claas Güthoff, Arthur Praetorius, Marcel Dudda, Christian Schoepp

Open access · hybridAbstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 25% 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, 3 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

8 authors at 4 institutions in 1 country.

Bastian MesterDepartment for Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany. bastian.mester@uk-essen.de.ORCID http://orcid.org/0000-0003-2125-7078
Patric KröpilDepartment for Radiology, BG Klinikum Duisburg, Großenbaumer Allee 250, 47249, Duisburg, Germany.
Tobias OhmannResearch Department, BG Klinikum Duisburg, Großenbaumer Allee 250, 47249, Duisburg, Germany.
Christoph SchleichDepartment for Diagnostic and Interventional Radiology, University Hospital Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Claas GüthoffCentre for Clinical Research, BG Klinikum Unfallkrankenhaus Berlin, Warener Straße 7, 12683, Berlin, Germany.
Arthur PraetoriusDepartment for Arthroscopic Surgery, Sports Traumatology and Sports Medicine, BG Klinikum Duisburg, Großenbaumer Allee 250, 47249, Duisburg, Germany.
Marcel DuddaDepartment for Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.
Christian SchoeppDepartment for Arthroscopic Surgery, Sports Traumatology and Sports Medicine, BG Klinikum Duisburg, Großenbaumer Allee 250, 47249, Duisburg, Germany.
BG Klinikum Duisburg · DEEssen University Hospital · DEDüsseldorf University Hospital · DEUnfallkrankenhaus Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPosttraumatic MRI of ACL tears show a high prevalence of bone bruise (BB) without macroscopic proof of chondral damage. Controversial results are described concerning the association between BB and outcome after ACL tear. Aim of this study is to evaluate the influence of distribution, severity and volume of BB in isolated ACL injuries on function, quality of life and muscle strength following ACL reconstruction (ACLR). MATERIALS AND

methodsMRI of n = 122 patients treated by ACLR without concomitant pathologies were evaluated. BB was differentiated by four localizations: medial/lateral femoral condyle (MFC/LFC) and medial/lateral tibial plateau (MTP/LTP). Severity was graded according to Costa-Paz. BB volumes of n = 46 patients were quantified (software-assisted volumetry). Outcome was measured by Lysholm Score (LS), Tegner Activity Scale (TAS), IKDC, isokinetics and SF-36. Measurements were conducted preoperatively (t0), 6 weeks (t1), 26 weeks (t2) and 52 weeks (t3) after ACLR.

resultsThe prevalence of BB was 91.8%. LTP was present in 91.8%, LFC 64.8%, MTP 49.2% and MFC 28.7%. 18.9% were classified Costa-Paz I, 58.2% II and 14.8% III. Total BB volume was 21.84 ± 15.27 cm

conclusionsNo impact of BB after ACLR on function, quality of life and objective muscle strength was shown, unaffected by concomitant pathologies. Previous data regarding prevalence and distribution is confirmed. These results help surgeons counselling patients regarding the interpretation of extensive BB findings. Long-time follow-up studies are mandatory to evaluate an impact of BB on knee function due to secondary arthritis.

Indexed as

Anterior Cruciate Ligament InjuriesCartilage, ArticularContusionsAnterior Cruciate LigamentHemarthrosisHematomaHumansQuality of LifeACL injuryBone bruiseBone marrow edemaMRIOutcome

Identifiers

PMID37269350
PMCPMC10491520
OpenAlexW4379207537

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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.