A Multi-Disciplinary MRI Assessment May Optimize the Evaluation of Chondral Lesions in Acute Ankle Fractures: A Prospective Study Article Swipe
Ali Darwich
,
Dominik Nörenberg
,
Julia Adam
,
Svetlana Hetjens
,
Andreas Schilder
,
U. Obertacke
,
Sascha Gravius
,
Ahmed Jawhar
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/diagnostics13203220
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/diagnostics13203220
Chondral lesions (CL) in the ankle following acute fractures are frequently overlooked immediately after the injury or diagnosed at a later stage, leading to persistent symptoms despite successful surgery. The literature presents a wide range of discrepancies in the reported incidence of CLs in acute ankle fractures. The objective of this prospective study is to provide a precise assessment of the occurrence of chondral lesions (CLs) in acute ankle fractures through MRI scans conducted immediately after the trauma and prior to scheduled surgery. Furthermore, the study aims to highlight the disparities in the interpretation of these MRI scans, particularly concerning the size and extent of chondral damage, between radiologists and orthopedic surgeons. Over the period of three years, all patients presenting with an unstable ankle fracture that underwent operative treatment were consecutively included in this single-center prospective study. Preoperative MRIs were obtained for all included patients within 10 days of the trauma and were evaluated by a trauma surgeon and a radiologist specialized in musculoskeletal MRI blinded to each other’s results. The location of the lesions was documented, as well as their size and ICRS classification. Correlations and kappa coefficients as well as the p-values were calculated. A total of 65 patients were included, with a mean age of 41 years. The evaluation of the orthopedic surgeon showed CLs in 52.3% of patients. CLs occurred mainly on the tibial articular surface (70.6%). Most talar lesions were located laterally (11.2%). The observed CLs were mainly ICRS grade 4. According to the radiologist, 69.2% of the patients presented with CLs. The most common location was the talar dome (48.9%), especially laterally. Most detected CLs were graded ICRS 3a. The correlation between the two observers was weak/fair regarding the detection and classification of CLs and moderate regarding the size of the detected CLs. To enhance the planning of surgical treatment for ankle chondral lesions (CLs), it may be beneficial to conduct an interdisciplinary preoperative assessment of the performed scans. This collaborative approach can optimize the evaluation of ankle CLs and improve overall treatment strategies.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/diagnostics13203220
- https://www.mdpi.com/2075-4418/13/20/3220/pdf?version=1697463500
- OA Status
- gold
- Cited By
- 1
- References
- 62
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4387673821
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4387673821Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/diagnostics13203220Digital Object Identifier
- Title
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A Multi-Disciplinary MRI Assessment May Optimize the Evaluation of Chondral Lesions in Acute Ankle Fractures: A Prospective StudyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-10-16Full publication date if available
- Authors
-
Ali Darwich, Dominik Nörenberg, Julia Adam, Svetlana Hetjens, Andreas Schilder, U. Obertacke, Sascha Gravius, Ahmed JawharList of authors in order
- Landing page
-
https://doi.org/10.3390/diagnostics13203220Publisher landing page
- PDF URL
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https://www.mdpi.com/2075-4418/13/20/3220/pdf?version=1697463500Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2075-4418/13/20/3220/pdf?version=1697463500Direct OA link when available
- Concepts
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Medicine, Ankle, Orthopedic surgery, Prospective cohort study, CLs upper limits, Radiology, Magnetic resonance imaging, Surgery, Trauma center, Retrospective cohort study, OptometryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2024: 1Per-year citation counts (last 5 years)
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62Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.diagnosed | 17 |
| abstract_inverted_index.evaluated | 154 |
| abstract_inverted_index.following | 6 |
| abstract_inverted_index.fractures | 8, 69 |
| abstract_inverted_index.highlight | 88 |
| abstract_inverted_index.incidence | 40 |
| abstract_inverted_index.included, | 203 |
| abstract_inverted_index.laterally | 237 |
| abstract_inverted_index.objective | 48 |
| abstract_inverted_index.observers | 281 |
| abstract_inverted_index.operative | 128 |
| abstract_inverted_index.other’s | 169 |
| abstract_inverted_index.patients. | 222 |
| abstract_inverted_index.performed | 324 |
| abstract_inverted_index.presented | 255 |
| abstract_inverted_index.regarding | 284, 293 |
| abstract_inverted_index.scheduled | 81 |
| abstract_inverted_index.surgeons. | 111 |
| abstract_inverted_index.treatment | 129, 306, 339 |
| abstract_inverted_index.underwent | 127 |
| abstract_inverted_index.weak/fair | 283 |
| abstract_inverted_index.assessment | 58, 321 |
| abstract_inverted_index.beneficial | 315 |
| abstract_inverted_index.concerning | 99 |
| abstract_inverted_index.especially | 267 |
| abstract_inverted_index.evaluation | 212, 332 |
| abstract_inverted_index.fractures. | 46 |
| abstract_inverted_index.frequently | 10 |
| abstract_inverted_index.laterally. | 268 |
| abstract_inverted_index.literature | 30 |
| abstract_inverted_index.occurrence | 61 |
| abstract_inverted_index.orthopedic | 110, 215 |
| abstract_inverted_index.overlooked | 11 |
| abstract_inverted_index.persistent | 24 |
| abstract_inverted_index.presenting | 120 |
| abstract_inverted_index.successful | 27 |
| abstract_inverted_index.calculated. | 196 |
| abstract_inverted_index.correlation | 277 |
| abstract_inverted_index.disparities | 90 |
| abstract_inverted_index.documented, | 177 |
| abstract_inverted_index.immediately | 12, 74 |
| abstract_inverted_index.prospective | 51, 136 |
| abstract_inverted_index.radiologist | 161 |
| abstract_inverted_index.specialized | 162 |
| abstract_inverted_index.strategies. | 340 |
| abstract_inverted_index.Correlations | 186 |
| abstract_inverted_index.Furthermore, | 83 |
| abstract_inverted_index.Preoperative | 138 |
| abstract_inverted_index.coefficients | 189 |
| abstract_inverted_index.particularly | 98 |
| abstract_inverted_index.preoperative | 320 |
| abstract_inverted_index.radiologist, | 250 |
| abstract_inverted_index.radiologists | 108 |
| abstract_inverted_index.collaborative | 327 |
| abstract_inverted_index.consecutively | 131 |
| abstract_inverted_index.discrepancies | 36 |
| abstract_inverted_index.single-center | 135 |
| abstract_inverted_index.classification | 288 |
| abstract_inverted_index.interpretation | 93 |
| abstract_inverted_index.classification. | 185 |
| abstract_inverted_index.musculoskeletal | 164 |
| abstract_inverted_index.interdisciplinary | 319 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5011482585 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I223822909, https://openalex.org/I2802164966, https://openalex.org/I4210156450 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7699999809265137 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.6542232 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |