Evidence map›Paper›PMID 42029431›Full record

ArticleCraniomaxillofacial trauma & reconstruction2026

Characterization of Inferior Rectus Muscle Action in Normal Subjects Using Real-Time Magnetic Resonance Imaging of the Orbit.

Alexander R Engelmann, Kailash Singh, Jiachen Zhuo, Néha Datta, Alfredo A Sadun, Michael P Grant, Shannath L Merbs

Abstract read
In one paragraph

Article in Craniomaxillofacial trauma & reconstruction, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Alexander R EngelmannDepartment of Ophthalmology and Visual Sciences, University of Maryland, Baltimore, MD 21201, USA.ORCID 0000-0003-4331-1194
Kailash SinghCleveland Clinic Lerner College of Medicine, Cleveland, OH 44195, USA.
Jiachen ZhuoDepartment of Diagnostic Radiology, University of Maryland, Baltimore, MD 21201, USA.
Néha DattaDepartment of Plastic & Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA.
Alfredo A SadunDoheny Eye Institute, University of California Los Angeles, Pasadena, CA 90095, USA.
Michael P GrantR. Adams Cowley Schock Trauma Center, University of Maryland, Baltimore, MD 21201, USA.
Shannath L MerbsDepartment of Ophthalmology and Visual Sciences, University of Maryland, Baltimore, MD 21201, USA.ORCID 0000-0002-7492-990X

Funding

Alexander Engelmann N/A
6 · The paper itself

Abstract

Orbital floor fractures may cause long-term functional and esthetic impairments. Diplopia due to impaired function of the inferior rectus muscle is frequently an indication for surgical repair, but some cases, such as those where the diagnosis has been delayed or a previous attempt at repair has been made, may not always be amenable to surgical correction. It is advantageous for the surgeon to know whether the proper function of the inferior rectus muscle can be restored for the purposes of surgical planning and prognostication. The authors hypothesized that real-time MRI could be used to characterize the appearance of the inferior rectus muscle in a way that would facilitate future analysis of inferior rectus function in patients with diplopia due to orbital floor fractures. Real-time MRI was performed on 10 volunteer participants with normal ophthalmic function and orbital anatomy to assess inferior rectus appearance during vertical duction testing. ImageJ software was used to measure and record characteristics of the inferior rectus muscle, viewed in a quasi-sagittal plane. The ratios evaluated included inferior rectus muscle length in upgaze versus downgaze (UDR, mean 1.58) as well as inferior rectus muscle length versus distance from inferior rectus origin to inferior rectus inflection point in upgaze (LIR, mean 1.30) and downgaze (mean 1.20). These values were found to be conserved between orbits and individuals. This data offers quantitative insight regarding inferior rectus muscle appearance across the full arc of vertical gaze in healthy individuals. We plan to use this normative baseline dataset as a comparison for future phases of this project, using real-time MRI to evaluate traumatized orbits with diplopia and derangement of the inferior rectus muscle.

Indexed as

dynamic orbital anatomyeye movementinferior rectus morphologyreal-time MRI

Identifiers

PMID42029431
PMCPMC13108105

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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.