ArticleSICOT-J2026
Arthroscopically occult meniscotibial instability persists despite systematic transcondylar assessment: Incidence and associated factors during ACL reconstruction.
Article in SICOT-J, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
introductionMedial meniscus ramp lesions are recognized contributors to knee instability in anterior cruciate ligament (ACL)-injured knees. However, some knees may demonstrate functional instability at the meniscotibial attachment without visible structural disruption on arthroscopic inspection. The purpose of this study was to determine the incidence of probe-detected meniscotibial instability in knees without a visible ramp lesion on transcondylar inspection and to identify associated factors.
methodsPatients who underwent primary ACL reconstruction between January 2021 and January 2026 were retrospectively reviewed. The ramp region was evaluated using a standardized transcondylar view, followed by systematic probing. Meniscotibial instability was defined as abnormal mobility of the posterior horn of the medial meniscus at the meniscotibial attachment in the absence of visible structural disruption. Multivariable logistic regression and receiver operating characteristic (ROC) analyses were performed.
resultsOf 171 patients, 113 met eligibility criteria. Forty-three had visible ramp lesions, leaving 70 for analysis. Meniscotibial instability was identified in 29 of 70 patients (41.4%). Preoperative side-to-side difference (SSD) in anterior tibial translation (OR, 1.81; P = 0.0024) and reduced ramp vascularity (OR, 3.36; P = 0.047) were independently associated with instability. An SSD cutoff of 5.0 mm showed acceptable discrimination (AUC, 0.734).
conclusionMeniscotibial instability may be present despite normal arthroscopic appearance of the ramp region and is associated with increased preoperative instability. Systematic probing is essential to identify this occult functional abnormality.
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.