Evidence map›Paper›PMID 38772936›Full record

ArticleInternational orthopaedics2024

Value of arthroscopy in the management of acute lesions of the distal tibiofibular joint.

Camille Choufani, Emilie Bilichtin, Didier Demory, Paul Tannyeres, Paul Teixeira, Robin Rassat, Bernard De Geofroy, Olivier Barbier

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Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

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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.

Camille ChoufaniOrthopaedic Surgical Department, Military Teaching Hospital Sainte-Anne, 2 Boulevard Ste Anne, 83000, Toulon, France. choufanicamille@gmail.com.ORCID 0000-0002-7353-4148
Emilie BilichtinOrthopaedic Surgical Department, Military Teaching Hospital Sainte-Anne, 2 Boulevard Ste Anne, 83000, Toulon, France.
Didier DemoryRugby Club Toulon Medical Unit, Toulon, France.
Paul TannyeresOrthopaedic Surgical Department, Military Teaching Hospital Sainte-Anne, 2 Boulevard Ste Anne, 83000, Toulon, France.
Paul TeixeiraOrthopaedic Surgical Department, Military Teaching Hospital Sainte-Anne, 2 Boulevard Ste Anne, 83000, Toulon, France.
Robin RassatOrthopaedic Surgical Department, Military Teaching Hospital Sainte-Anne, 2 Boulevard Ste Anne, 83000, Toulon, France.
Bernard De GeofroyOrthopaedic Surgical Department, Military Teaching Hospital Laveran, Marseille, France.
Olivier BarbierOrthopaedic Surgical Department, Military Teaching Hospital Sainte-Anne, 2 Boulevard Ste Anne, 83000, Toulon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeManaging the distal tibiofibular (DTF) joint remains a challenge despite recent developments. Ankle arthroscopy is emerging as a diagnostic and therapeutic means. Our study aimed to compare preoperative imaging data and arthroscopic data, with the hypothesis that imaging alone is insufficient to evaluate acute laxity, and with arthroscopy as the reference examination.

methodsAll patients treated in 2023 in our department for an acute isolated DTF lesion were included prospectively. Preoperative radiographic and MRI imaging were compared with arthroscopic data.

resultsTen patients were treated. For five patients, the instability was doubtful after carrying out an appropriate imaging assessment (X-rays of both ankles, MRI). For four of these five patients, instability was confirmed by arthroscopy. Arthroscopy was useful for suturing the anterior bundle of the DTF joint for two patients and allowed for verifying the reduction in the sagittal and coronal planes for two patients. No complications were detected.

conclusionsArthroscopy in isolated acute DTF lesions seems to provide a diagnostic and therapeutic advantage. Its use may allow for exhaustive assessment and complete repair of lesions. It must be offered as soon as possible; a delay in specialized imaging may delay therapeutic care.

Indexed as

Ankle JointArthroscopyJoint InstabilityMagnetic Resonance ImagingAdolescentAdultAnkle InjuriesFemaleFibulaHumansMaleMiddle AgedProspective StudiesRadiographyTibiaTreatment OutcomeAnkleArthroscopyDistal tibiofibularSyndesmosis

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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.