ArticleOrthopaedic journal of sports medicine2025
Reliability of Preoperative MRI in the Prediction of ACL Tear Type.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Limited Agreement on ACL Tear Location Between Arthroscopy and MRI: A Prospective Evaluation.Orthopaedic journal of sports medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Anterior cruciate ligament (ACL) injuries are common among active patients and can be managed with primary repair or reconstruction. The most important predictor of good outcomes after primary repair is a more proximal tear location. Preoperative magnetic resonance imaging (MRI) guides surgical decision making, but the accuracy of MRI in identifying tear location is understudied. Purpose: To evaluate the accuracy of preoperative MRI in identifying ACL tear location. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Patients who underwent ACL reconstruction or repair by 2 surgeons at a single, urban academic medical center between 2019 and 2024 were collected. Exclusion criteria included previous ACL surgery and inadequate preoperative or intraoperative imaging. The location of the ACL tear on preoperative MRI scan was retrospectively graded using the modified Sherman classification in a blinded manner. Reference diagnosis was the tear location as noted in the surgeon's operative note and confirmed with arthroscopic images. The primary endpoint was the accuracy of MRI for predicting intraoperative tear type. Results: A total of 203 patients were included in this study. MRI accurately predicted the ACL tear type seen arthroscopically only 35.5% (72/203) of the time. When MRI did not match the arthroscopic diagnosis, the MRI was within 1 classification grade 74.8% (98/131) of the time. Of the incorrect gradings, 71.0% (93/131) were overclassifications (MRI tear classification more distal than found during arthroscopy). MRI was more sensitive in detecting proximal third (type II) and midsubstance (type III) tears (43.7% and 51.6%, respectively) than it was for detecting proximal avulsion (type I) tears (2.5%). Conclusion: MRI was unreliable for determining the precise location of an ACL tear. MRI tended to overestimate how distal a tear was compared with arthroscopic findings, which may influence patient counseling, preoperative planning, and surgical decision making.
Indexed as
Identifiers
What OpenQuestion holds
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.