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Analysis of institutional authors

Reina, Miguel AAuthor

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May 20, 2025
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Article

What Do We Know About Ligaments?

Publicated to: CLINICAL ANATOMY. 38 (5): 610-612 - 2025-07-01 38(5), DOI: 10.1002/ca.24289

Authors:

Iwanaga, J; Kikuchi, K; Hur, MS; Kawai, H; Tabira, Y; Reina, MA; LaPrade, RF; Watanabe, K
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Affiliations

CEU San Pablo Univ, Madrid Monteprincipe Univ Hosp, Sch Med, Dept Anesthesiol, Madrid, Spain - Author
Daegu Catholic Univ, Sch Med, Dept Anat, Daegu, South Korea - Author
Kurume Univ, Sch Med, Dent & Oral Med Ctr, Fukuoka, Japan - Author
Kurume Univ, Sch Med, Dept Anat, Div Gross & Clin Anat, Fukuoka, Japan - Author
Kurume Univ, Sch Med, Dept Orthoped Surg, Fukuoka, Japan - Author
Ochsner Hlth Syst, Dept Neurosurg, New Orleans, LA 70121 USA - Author
Ochsner Hlth Syst, Ochsner Neurosci Inst, New Orleans, LA 70121 USA - Author
Okayama Univ, Fac Med Dent & Pharmaceut Sci, Dept Oral Pathol & Med, Okayama, Japan - Author
Tulane Univ, Sch Med, Clin Neurosci Res Ctr, Dept Neurol, New Orleans, LA 70122 USA - Author
Tulane Univ, Sch Med, Clin Neurosci Res Ctr, Dept Neurosurg, New Orleans, LA 70122 USA - Author
Tulane Univ, Sch Med, Dept Struct & Cellular Biol, New Orleans, LA 70118 USA - Author
Twin Cities Orthoped, Edina, MN USA - Author
Univ Florida, Coll Med, Dept Anesthesiol, Gainesville, FL USA - Author
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Abstract

Ligaments have been extensively studied in anatomy and are traditionally defined as structures that connect bones and contribute to joint stability. However, a universally accepted definition of "ligament" remains elusive. Many structures classified as ligaments do not connect bones, such as the ligamentum arteriosum, raising questions about the criteria used for their designation. Moreover, distinguishing ligaments from tendons presents a significant challenge because of their shared histological characteristics and the lack of a clear, standardized definition of "ligament". Historically, ligaments have been named primarily on the basis of their gross anatomical appearance rather than well-defined structural or functional criteria. Ambiguities in nomenclature such as the interchangeable use of "patellar ligament" and "patellar tendon" further complicate classification. Additionally, dissection bias can lead to the artificial identification of ligaments because traditional dissection techniques can isolate tissue layers in a manner that creates the illusion of distinct ligament structures. Given these limitations, gross anatomical dissection alone is insufficient to confirm the presence of a ligament, necessitating histological validation based on a fundamental definition. Establishing a precise classification system that differentiates traditional bone-to-bone ligaments from other connective structures is imperative. Close collaboration between anatomists and surgeons is essential for refining anatomical definitions because inaccurate classifications can have direct implications for clinical practice, particularly in ligament reconstruction. A research-driven, standardized definition of ligaments can enhance anatomical education and improve surgical precision.
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Keywords

AnatomyBiasBoneCadaverConnective tissueDissectionLigamentsSoft tissueTendoTendon

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal CLINICAL ANATOMY due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position 3/22, thus managing to position itself as a Q1 (Primer Cuartil), in the category Anatomy & Morphology.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-05:

  • WoS: 1
  • Scopus: 1
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 8.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 8 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 2 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
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Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Japan; Republic of Korea; United States of America.

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