Evidence map›Paper›PMID 34040662›Full record

ArticleJournal of children's orthopaedics2021

Quantitative assessment of the vascularity of the skeletally immature patella: a cadaveric study using MRI.

Naomi E Gadinsky, Kenneth M Lin, Craig E Klinger, Jonathan P Dyke, Laura J Kleeblad, Kevin G Shea, David L Helfet, Scott A Rodeo, Daniel W Green, Lionel E Lazaro

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2021. 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
0.5field-weighted citation impact, top 41% of its field
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, 8 citations in OpenAlex.

  1. Review
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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

10 authors at 6 institutions in 1 country.

Naomi E GadinskyHospital for Special Surgery/New York Presbyterian Hospital/Weill Cornell Medicine, New York, NY, USA.
Kenneth M LinHospital for Special Surgery/New York Presbyterian Hospital/Weill Cornell Medicine, New York, NY, USA.
Craig E KlingerHospital for Special Surgery/New York Presbyterian Hospital/Weill Cornell Medicine, New York, NY, USA.
Jonathan P DykeCitigroup Biomedical Imaging Center and Weill Cornell Medicine, New York, NY, USA.
Laura J KleebladNorthwest Clinics, Alkmaar, the Netherlands.
Kevin G SheaStanford University Medical Center, Stanford, CA, USA.
David L HelfetHospital for Special Surgery/New York Presbyterian Hospital/Weill Cornell Medicine, New York, NY, USA.
Scott A RodeoHospital for Special Surgery/New York Presbyterian Hospital/Weill Cornell Medicine, New York, NY, USA.
Daniel W GreenHospital for Special Surgery/New York Presbyterian Hospital/Weill Cornell Medicine, New York, NY, USA.
Lionel E LazaroMiami Orthopedic and Sports Medicine Institute, Baptist Health South Florida, Miami, FL, USA.
Hospital for Special Surgery · USCornell University · USImaging Center · USNew York Hospital Queens · USNewYork–Presbyterian Hospital · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile predominant blood supply to the adult patella enters inferomedially, little is known about skeletally immature patellar perfusion. Improved knowledge of immature patella vascularity can further understanding of osteochondritis dissecans, dorsal defects of the patella and bipartite patella, and help ensure safe surgical approaches. We hypothesized that the immature patella would exhibit more uniform blood flow. The study purpose was to quantify immature patella regional perfusion in comparison with adults.

methodsTen cadaveric knees were utilized (five immature, five mature). The superficial femoral artery was cannulated proximally. Signal enhancement increases were compared from pre- to post-contrast MRI to assess relative arterial contributions to patella regions (quadrants, anterior/posterior, superior/inferior, medial/lateral, and outer/inner).

resultsQuantitative-MRI analysis revealed similar distribution of enhancement between the immature and mature patella. The inferior pole exhibited significantly higher arterial contribution

conclusionDistribution of arterial contributions between the immature and mature patella was similar. Our results highlight the importance of inferior and inferomedial blood supply in both immature and mature patellas. These findings have implications for paediatric and adult patients; surgical damage to inferior patellar vessels should be avoided to prevent associated complications.

Indexed as

patella vascularityquantitative-MRIskeletally immatureskeletally mature

Identifiers

PMID34040662
PMCPMC8138784
OpenAlexW3149767764

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 Socratic graph.