Evidence map›Paper›PMID 40757803›Full record

ArticleEFORT open reviews2025

Ultrasound quantification of knee meniscal extrusion: the potential of weight-bearing and dynamic evaluations. A systematic review.

Giuseppe Martinese, Fabio Tortorella, Luca Andriolo, Giancarlo Facchini, Marco Miceli, Giuseppe Filardo

Abstract read
In one paragraph

Article in EFORT open reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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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.

Giuseppe MartineseDepartment of Radiology and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.ORCID https://orcid.org/0000-0002-0947-7281
Fabio TortorellaShoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Luca AndrioloClinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.ORCID https://orcid.org/0000-0001-6352-9671
Giancarlo FacchiniDepartment of Radiology and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.ORCID https://orcid.org/0000-0002-6739-7335
Marco MiceliDepartment of Radiology and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Giuseppe FilardoService of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland.ORCID https://orcid.org/0000-0002-8136-0977

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Meniscal extrusion (ME) can have detrimental effects. The aim of this study was to analyze the evidence about the reliability, potential of standing and dynamic evaluations, and influencing factors identified by using ultrasound (US) to evaluate knee ME. Methods: A systematic review of the literature was performed in February 2024 on PubMed, Scopus, and the Cochrane Library databases to select all articles, dealing with the US evaluation of ME. Relevant data of the involved articles, including study type, number of patients, age, sex, US technique, and data comparison with other radiological examinations, were extracted and collected for the study analysis. Results: Sixty studies on 4,742 patients were included: 38 cross-sectional, ten longitudinal, two case-control, and ten biomechanical studies. A strong correlation was found between MRI and US, with good US sensitivity (96%) and specificity (82%), and moderate to excellent interrater and intrarater reliability. US examinations in the standing position with weight-bearing or more complex dynamic conditions reported a significant influence of weight-bearing on MME. US was able to identify a relationship between meniscus posterior root tear and MME, as well as between ME and both pain and early osteoarthritis. Conclusions: US is a valuable tool for the study of ME and the identification of the association between ME and various conditions. US in dynamic and weight-bearing evaluations is useful to characterize this anatomical abnormality in different pathologies, including OA, meniscal lesions, and in the follow-up of surgical procedures, providing important data to choose the best treatment to address patients affected by ME.

Indexed as

dynamic ultrasoundknee ultrasoundmeniscal extrusionmeniscal ultrasound

Identifiers

PMID40757803
PMCPMC12326973

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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.