Evidence map›Paper›PMID 38813268›Full record

ArticleCureus2024

Torsional Deformity Significantly Impacts Lateral Ankle Radiographic Imaging Parameters.

Matthew J Folkman, Kouami Amakoutou, Asha Ravichandran, Dre'Marcus Ferrell, David M Wang, Bryan O Ren, Alexander Rascoe, Raymond W Liu

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. 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.

Matthew J FolkmanPediatric Orthopaedics, The University of Toledo College of Medicine and Life Sciences, Toledo, USA.
Kouami AmakoutouPediatric Orthopaedics, Rainbow Babies & Children's Hospital, Cleveland, USA.
Asha RavichandranPediatric Orthopaedics, Case Western Reserve University School of Medicine, Cleveland, USA.
Dre'Marcus FerrellPediatric Orthopaedics, Case Western Reserve University School of Medicine, Cleveland, USA.
David M WangDermatology, Brigham and Women's Hospital, Boston, USA.
Bryan O RenOrthopaedic Surgery, University of Michigan, Ann Arbor, USA.
Alexander RascoeOrthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, USA.
Raymond W LiuPediatric Orthopaedics, Rainbow Babies & Children's Hospital, Cleveland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Optimal lateral ankle imaging is important for the diagnosis and treatment of multiple ankle conditions. The effects of limb deformity on lateral ankle imaging are not well described and are clarified in this osteological study. Materials and methods We utilized an osteological collection and imaged all specimens after the first positioning of the talus in the lateral position and positioning the tibia and fibula to match. We then measured the relative positions of the tibia and fibula and their widths to calculate standard ratios. All measurements were evaluated for reliability using intra-class correlation coefficients. Multiple regression analysis determined how patient characteristics, tibial torsion, and medial proximal tibial angle affected various lateral ankle imaging ratios. Results The intra-class correlation coefficient was excellent for all measurements. In the multiple regression analysis, all five imaging ratios had at least one statistically significant outcome. The anterior tibiofibular interval (ATFI)-tibial width (TW) ratio (ATFI:TW) had only one association with sex and had the lowest standard deviation. All other parameters had variation with tibial torsion and/or medial proximal tibia angle (MPTA). The mean ATFI was 1.06 ± 0.21 cm and 1.19 ± 0.23 cm for females and males, respectively. Conclusions Patient sex and tibial torsion impacted the fidelity of lateral imaging parameters. ATFI:TW may pose the greatest utility given its minimal association with deformity parameters and low standard deviation.

Indexed as

ankle imagingankle imaging parameterslateral ankle imaginglimb deformitytibial torsion

Identifiers

PMID38813268
PMCPMC11134472

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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.