Evidence map›Paper›PMID 41362475›Full record

ArticleJournal of experimental orthopaedics2025

Medial joint line obliquity and medial meniscus tear were associated with medial meniscal extrusion: A case-control study.

Kazuki Asai, Yosuke Shima, Kenichi Goshima, Kazunari Kuroda, Takeshi Oshima, Yasushi Takata, Mitsuhiro Kimura, Kengo Shimozaki, Tomoyuki Kanayama, Naoki Takemoto and 4 more

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. 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

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

2 citing papers in PubMed.

  1. Meniscal extrusion: Multiple theories, one clinical challenge.Journal of experimental orthopaedics · 2026
    Article
  2. 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

14 authors.

Kazuki AsaiDepartment of Orthopedic Surgery Keiju Medical Center Nanao Japan.ORCID https://orcid.org/0000-0003-2766-175X
Yosuke ShimaDepartment of Orthopedic Surgery KKR Hokuriku Hospital Kanazawa Japan.
Kenichi GoshimaDepartment of Orthopedic Surgery Kanazawa Munehiro Hospital Kanazawa Japan.
Kazunari KurodaDepartment of Orthopedic Surgery Yawata Medical Center Komatsu Japan.
Takeshi OshimaDepartment of Orthopedic Surgery Kanazawa Municipal Hospital Kanazawa Japan.
Yasushi TakataDepartment of Orthopedic Surgery Graduate School of Medical Science Kanazawa University Kanazawa Japan.
Mitsuhiro KimuraDepartment of Orthopedic Surgery Fukui General Hospital Fukui Japan.
Kengo ShimozakiDepartment of Orthopedic Surgery Ishikawa Prefectural Central Hospital Kanazawa Japan.
Tomoyuki KanayamaDepartment of Orthopedic Surgery Suzu general Hospital Suzu Japan.
Naoki TakemotoDepartment of Orthopedic Surgery Graduate School of Medical Science Kanazawa University Kanazawa Japan.
Manase NishimuraDepartment of Orthopedic Surgery Graduate School of Medical Science Kanazawa University Kanazawa Japan.
Kentaro FujitaDepartment of Orthopedic Surgery Graduate School of Medical Science Kanazawa University Kanazawa Japan.
Satoru DemuraDepartment of Orthopedic Surgery Graduate School of Medical Science Kanazawa University Kanazawa Japan.
Junsuke NakaseDepartment of Orthopedic Surgery Graduate School of Medical Science Kanazawa University Kanazawa Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Medial meniscal extrusion is a key factor in accelerating knee osteoarthritis. Medial joint line obliquity causes increased contact pressure on the medial meniscus, which potentially induces medial meniscal extrusion. Our hypothesis was that medial joint line obliquity contributes to an increase in medial meniscal extrusion in both supine and upright position during early-stage knee osteoarthritis (KOA). Methods: We analysed 124 knees with early-stage KOA. Medial joint line obliquity (knee joint line obliquity ≤ - 3°) and posterior tibial slope ( ≥ 6°) were assessed using standing full-length lower extremity radiography and magnetic resonance imaging, respectively. Medial meniscal extrusion was measured using ultrasonography in the supine and upright positions. Cases with excessive posterior tibial slope were excluded to minimise the influence of the posterior tibial slope, and the remaining 89 knees were divided into medial joint line obliquity ( Results: The medial joint line obliquity group showed significantly higher medial meniscal extrusion than the control group (supine, 3.0 ± 1.0 vs. 2.4 ± 0.9 mm, Conclusion: Medial joint line obliquity and medial meniscus tear may be risk factors for medial meniscal extrusion in both the supine and upright positions in early-stage KOA. Level of Evidence: Level IV.

Indexed as

early‐stage knee osteoarthritisknee jointmedial joint line obliquitymedial meniscal extrusionmeniscus tear

Identifiers

PMID41362475
PMCPMC12682229

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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.