Evidence map›Paper›PMID 25364480›Full record

ArticleSports health2014

Stress fractures of the foot and ankle in athletes.

Stephanie W Mayer, Patrick W Joyner, Louis C Almekinders, Selene G Parekh

Erratum issuedAbstract read
In one paragraph

Article in Sports health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 108 citations in OpenAlex.

  1. Article
  2. Review
  3. Calcaneus and Traumatic Stress Fracture.Journal of orthopaedic case reports · 2025
    Article
  4. Article
  5. Magnetic Resonance Imaging Patterns of Common Injuries in Pediatric and Adolescent Athletes.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
    Article
  6. Stress fractures of the foot - current evidence on management.Journal of clinical orthopaedics and trauma · 2024
    Article
  7. [High-risk stress fractures in competitive athletes].Unfallchirurgie (Heidelberg, Germany) · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. The evaluation of foot pressure and postural structure of national golfers.Acta orthopaedica et traumatologica turcica · 2019
    Article
  18. A Middle Cuneiform Stress Fracture in an Adolescent Athlete: A Case Report and Literature Review.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2019
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Stephanie W MayerDuke University Medical Center, Durham, North Carolina.
Patrick W JoynerDuke University Medical Center, Durham, North Carolina.
Louis C AlmekindersNorth Carolina Orthopaedic Clinic, Durham, North Carolina.
Selene G ParekhNorth Carolina Orthopaedic Clinic, Durham, North Carolina.
Duke Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextStress fractures of the foot and ankle are a common problem encountered by athletes of all levels and ages. These injuries can be difficult to diagnose and may be initially evaluated by all levels of medical personnel. Clinical suspicion should be raised with certain history and physical examination findings. EVIDENCE ACQUISITION: Scientific and review articles were searched through PubMed (1930-2012) with search terms including stress fractures and 1 of the following: foot ankle, medial malleolus, lateral malleolus, calcaneus, talus, metatarsal, cuboid, cuneiform, sesamoid, or athlete. STUDY

designClinical review. LEVEL OF EVIDENCE: Level 5.

resultsStress fractures of the foot and ankle can be divided into low and high risk based upon their propensity to heal without complication. A wide variety of nonoperative strategies are employed based on the duration of symptoms, type of fracture, and patient factors, such as activity type, desire to return to sport, and compliance. Operative management has proven superior in several high-risk types of stress fractures. Evidence on pharmacotherapy and physiologic therapy such as bone stimulators is evolving.

conclusionA high index of suspicion for stress fractures is appropriate in many high-risk groups of athletes with lower extremity pain. Proper and timely work-up and treatment is successful in returning these athletes to sport in many cases. Low-risk stress fracture generally requires only activity modification while high-risk stress fracture necessitates more aggressive intervention. The specific treatment of these injuries varies with the location of the stress fracture and the goals of the patient.

Indexed as

ankleathletefootstress fracture

Identifiers

PMID25364480
PMCPMC4212349
OpenAlexW2313780502

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.