Evidence map›Paper›PMID 37750911›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Ultrasonographic diagnosis of medial meniscus posterior root tear in early knee osteoarthritis: a comparative study.

Kengo Shimozaki, Junsuke Nakase, Tomoyuki Kanayama, Yusuke Yanatori, Takeshi Oshima, Kazuki Asai, Yosuke Shima, Hiroyuki Tsuchiya

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In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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  8. The Role of Ultrasound in the Diagnosis and Treatment of Meniscal Injuries.Current reviews in musculoskeletal medicine · 2024
    Review
  9. 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

8 authors at 3 institutions in 1 country.

Kengo ShimozakiDepartment of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-Machi, Kanazawa-Shi, Ishikawa-Ken, 920-8641, Japan.
Junsuke NakaseDepartment of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-Machi, Kanazawa-Shi, Ishikawa-Ken, 920-8641, Japan. nakase1007@yahoo.co.jp.ORCID http://orcid.org/0000-0002-9286-5276
Tomoyuki KanayamaDepartment of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-Machi, Kanazawa-Shi, Ishikawa-Ken, 920-8641, Japan.
Yusuke YanatoriDepartment of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-Machi, Kanazawa-Shi, Ishikawa-Ken, 920-8641, Japan.
Takeshi OshimaDepartment of Orthopedic Surgery, Asanogawa General Hospital, Kanazawa, Japan.
Kazuki AsaiDepartment of Orthopedic Surgery, KKR Hokuriku Hospital, Kanazawa, Japan.
Yosuke ShimaDepartment of Orthopedic Surgery, KKR Hokuriku Hospital, Kanazawa, Japan.
Hiroyuki TsuchiyaDepartment of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-Machi, Kanazawa-Shi, Ishikawa-Ken, 920-8641, Japan.
Kanazawa University · JPHokuriku University · JPAsanogawa General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to detect medial meniscal posterior root tear (MMPRT) diagnostic methods with high sensitivity and specificity using dynamic ultrasonographic evaluation in patients with early knee osteoarthritis (OA) and demonstrate the usefulness of dynamic ultrasonographic medial meniscal extrusion (MME) evaluation in MMPRT diagnosis using a cutoff value. MATERIALS AND

methodsBetween 2018 and 2020, a total of 120 patients were diagnosed with early knee OA using clinical and radiographic findings. Dynamic ultrasonographic evaluations and magnetic resonance imaging were performed in all patients, and 47 patients who had and 73 patients who did not have MMPRT were classified into the MMPRT and non-MMPRT groups, respectively. Age, sex, femorotibial angle, MME of knee extension and flexion, and MME at weight-bearing were compared between the two groups. Additionally, the sensitivity and specificity of significant ultrasonographic findings were calculated using a receiver operating characteristic (ROC) curve.

resultsThe MMEs under knee extension-flexion and weight-loading in the MMPRT group were significantly larger than those in the non-MMPRT group. ROC curve analysis for each ultrasonographic evaluation condition to diagnose MMPRT indicated that the sensitivity was 72-88% and the specificity was 66-85% when the cutoff values of MME under knee flexion at 0°, 90°, and weight-loading were set at 2.55 mm, 2.00 mm, and 3.55 mm, respectively. The highest sensitivity (88%) and specificity (85%) were exhibited upon > 2 mm MME at a knee flexion of 90° and were the most useful indicators for MME diagnosis.

conclusionsUltrasonographic MME evaluations for MMPRT diagnosis showed relatively high sensitivity and specificity in patients with early knee OA. Dynamic ultrasonographic MME evaluation may lead to appropriate additional examinations, early diagnosis, and intervention for MMPRT in patients with early knee OA.

Indexed as

Cartilage DiseasesKnee InjuriesOsteoarthritis, KneeTibial Meniscus InjuriesEndrinHumansKnee JointMagnetic Resonance ImagingMenisci, TibialRetrospective StudiesRuptureEndrinMMEEarly knee osteoarthritisMedial meniscal extrusionMedial meniscus posterior root tearUltrasound

Identifiers

PMID37750911
OpenAlexW4387033537

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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.