Evidence map›Paper›PMID 37650925›Full record

ArticleSkeletal radiology2024

T1-VIBE and STIR MRI of lumbar pars interarticularis injuries in elite athletes: fracture characterisation and potential prognostic indicators.

Christopher Watura, Adam W M Mitchell, Damian Fahy, Jonathan Houghton, Sujin Kang, Justin C Lee

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Skeletal radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07215845 (Pars Healing on oZTEo MRI), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

NCT07215845 narecruitingnot on this mapstarted 2025, after this paper: background citation

Pars Healing on oZTEo MRI

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2025 to 2028Enrolled40ConditionsPars Interarticularis Stress Fracture, Pars Interarticularis Stress InjuryArmsMRI
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Rugby Injury Imaging.Seminars in musculoskeletal radiology · 2025
    Review
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

6 authors at 2 institutions in 1 country.

Christopher WaturaFortius Clinic, 17 Fitzhardinge Street, London, W1H 6EQ, UK. drcwatura@gmail.com.
Adam W M MitchellFortius Clinic, 17 Fitzhardinge Street, London, W1H 6EQ, UK.
Damian FahyFortius Clinic, 17 Fitzhardinge Street, London, W1H 6EQ, UK.
Jonathan HoughtonFortius Clinic, 17 Fitzhardinge Street, London, W1H 6EQ, UK.
Sujin KangResearch Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Justin C LeeFortius Clinic, 17 Fitzhardinge Street, London, W1H 6EQ, UK.
Fortius Clinic · GBChelsea and Westminster Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess how pars interarticularis fracture characteristics on T1-VIBE and STIR MRI relate to healing and identify anatomical parameters that may impact healing. MATERIALS AND

methodsA retrospective review of an MRI series of lumbar pars interarticularis injuries in elite athletes over a 3-year period. Fracture configurations, signal intensities and anatomical parameters were recorded by two radiologists. Statistical analysis employed multilevel mixed-effects linear regressions, adjusted for repeated measures and baseline covariates.

resultsForty-seven lumbar pars interarticularis injuries among 31 athletes were assessed. On final scans for each athlete, 15% (7/47) injuries had worsened, 23% (11/47) remained stable, 43% (20/47) partially healed and 19% (9/47) healed completely. Healing times varied, quickest was 49 days for a chronic fracture in a footballer. Bone marrow oedema signal was highest in worsened fractures, followed by improved, and lowest in stable fractures. As healing progressed, T1-VIBE signal at the fracture line decreased. Bone marrow oedema and fracture line signal peaked at 90-120 days before decreasing until 210-240 days. Fractures with smaller dimensions, more vertical orientation and a longer superior articular facet beneath were significantly associated with better healing (p < 0.05).

conclusionMost diagnosed athletic pars interarticularis injuries improve. Normalising T1-VIBE signal at the fracture line is a novel measurable indicator of bony healing. Contrastingly, bone marrow oedema signal is higher in active fractures irrespective of healing or deterioration. Injuries initially perceived as worsening may be exhibiting the normal osteoclastic phase of healing. Better outcomes favour smaller, vertical fractures with a longer superior articular facet beneath.

Indexed as

Athletic InjuriesFractures, BoneSpondylolysisAthletesEdemaHumansLumbar VertebraeMagnetic Resonance ImagingPrognosisAthletesHealingMRIPars interarticularisSpineSpondylolysisSportsSTIRStress fractureVIBE

Identifiers

PMID37650925
OpenAlexW4386305033

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.