{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T08:34:28Z","timestamp":1772181268796,"version":"3.50.1"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"1178","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To systematically review existing MRI-safe lower limb traction methodology and describe a simple, accessible technique that provides an economically viable alternative to specialized equipment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Embase, Emcare, HMIC, Medline, and Ovid Journal databases were queried without time or language limitations (registered protocol INPLASY2025100045). Studies with lower limb traction-enhanced MRI were included, studies without traction methodology were excluded. The novel MRI-safe-traction setup consisted of a pillow \u201ctraction-hill\u201d supporting the leg, a rolled-up blanket fulcrum and saline weights. In-line traction forces were experimentally measured at different weights and \u201ctraction-hill\u201d angles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Included studies (n\u2009=\u200931; 22 hip, 6 ankle, 4 knee, 1\u2009foot; 2321 joints total) demonstrated 4 main types of MRI-safe-traction methods. Custom components were common (n\u2009=\u200924), bias and traction method reporting completeness varied. Excluded studies (n\u2009=\u200931) mainly lacked traction-enhanced MRIs (n\u2009=\u200916) or traction method description (n\u2009=\u200911). The described novel technique provided adequate pain relief and satisfactory MRI image quality for a paediatric midshaft femoral fracture patient. Mechanical in-line traction force validation was at least equal to or greater than the suspended weight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A wide variety of approaches exist for MRI-safe lower limb traction, many relying on custom or special kit. We have described a successful compact MRI-safe lower limb traction setup utilizing only commonly available items, enhancing accessibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bjr\/tqaf319","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T10:23:13Z","timestamp":1766571793000},"page":"230-245","source":"Crossref","is-referenced-by-count":0,"title":["MRI safe lower limb traction techniques: a systematic review and novel economic technique"],"prefix":"10.1093","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4453-2562","authenticated-orcid":false,"given":"Rishabh Vivek","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust , London, SE1 7EH,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhiraj","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Northwick Park Hospital , Harrow HA1 3UJ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Conte","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust , London, SE1 7EH,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shakeel M","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust , London, SE1 7EH,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley Iain","family":"Simpson","sequence":"additional","affiliation":[{"name":"Department of Peripheral Nerve Injuries, The Royal National Orthopaedic Hospital , Stanmore HA7 4LP,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"2026022702514611800_tqaf319-B1","doi-asserted-by":"publisher","first-page":"20160932","DOI":"10.1259\/bjr.20160932","article-title":"Effect of traction on wrist joint space and cartilage visibility with and without MR arthrography","volume":"90","author":"Lee","year":"2017","journal-title":"Br J Radiol"},{"key":"2026022702514611800_tqaf319-B2","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1007\/s00117-018-0471-8","article-title":"Nobauer-Huhmann I. 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