Evidence map›Paper›PMID 25887431›Full record

ArticleBMC musculoskeletal disorders2015

Comparison of microstructural and mechanical properties of trabeculae in femoral head from osteoporosis patients with and without cartilage lesions: a case-control study.

Houchen Lv, Licheng Zhang, Fei Yang, Zhe Zhao, Qi Yao, Lihai Zhang, Peifu Tang

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Morselized corticocancellous bone as primary graft for posterior lumbar fusion: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Pooled it
  2. Ancient Principles, Modern Impact: Increased Femoral Offset Demonstrates Decreased Load to Failure in Total Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  3. [Risk of micro-fracture in femoral head after removal of cannulated screws for femoral neck fracture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    Article
  4. Article
  5. Knee loading repairs osteoporotic osteoarthritis by relieving abnormal remodeling of subchondral bone via Wnt/β-catenin signaling.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020
    Article
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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

7 authors at 3 institutions in 1 country.

Houchen LvDepartment of Orthopedics, General Hospital of Chinese PLA, No.28 Fuxing Road, Beijing, China. houchenlv@163.com.
Licheng ZhangDepartment of Orthopedics, General Hospital of Chinese PLA, No.28 Fuxing Road, Beijing, China. zhanglcheng218@126.com.
Fei YangBNLMS State Key Laboratory of Polymer Physics & Chemistry, Institute of Chemistry, Chinese Academy of Sciences, Beijing, China. feiyang@iccas.ac.cn.
Zhe ZhaoDepartment of Orthopedics, General Hospital of Chinese PLA, No.28 Fuxing Road, Beijing, China. zhaozhao_02@163.com.
Qi YaoDepartment of Orthopedics, Beijing Shijitan Hospital, Beijing, China. yqjh2010@163.com.
Lihai ZhangDepartment of Orthopedics, General Hospital of Chinese PLA, No.28 Fuxing Road, Beijing, China. zhanglihai301@gmail.com.
Peifu TangDepartment of Orthopedics, General Hospital of Chinese PLA, No.28 Fuxing Road, Beijing, China. pftang301@126.com.
Chinese PLA General Hospital · CNBeijing Shijitan Hospital · CNChinese Academy of Sciences · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDegeneration of cartilage will change load distribution, affecting bone remodeling progress and trabecular structure and strength. However, in human primary osteoporosis, whether cartilage lesions would also affect properties beneath trabecular bone remains unknown. In this study, we explored the differences in local trabecular properties between osteoporosis patients with and without cartilage lesions.

methodsEighteen pairs of femoral heads with and without cartilage lesions in a weight-bearing area were collected from senile femoral neck fracture patients. The Mankin score and glycosaminoglycan (GAG) content were used to evaluate the severity of the cartilage lesions. Micro-CT and compression tests were used to obtain structural and mechanical characteristics of each trabecular column. Multivariate linear regression was performed to evaluate the association between mechanical parameters and the degree of cartilage lesion.

resultsIn osteoporosis patients with cartilage lesions, the bone volume fraction (BV/TV) and trabecular thickness (Tb.Th) of the trabecular column were significantly higher than that of osteoporotic control patients (all P < 0.05), while the Young's modulus was lower (P = 0.024). Multivariable linear regression indicated that in both groups, bone mineral density (BMD) significantly correlated with Young's modulus (all P < 0.05). While in patients with cartilage lesion, GAG content was also correlated with Young's modulus (standardized coefficient 0.443, P < 0.01).

conclusionsOsteoporosis patients with cartilage lesions exhibited a weaker mechanical property of trabeculae. The intimate association of cartilage lesions and impairment of trabecular mechanical properties indicate that cartilage and trabeculae belong to an interdependent functional unit. Previously proposed adaptive mechanisms in osteoarthritis might also be applicable to the progression of osteoporosis.

Indexed as

AgedAged, 80 and overBiomechanical PhenomenaBone RemodelingCartilage DiseasesCase-Control StudiesElastic ModulusFemaleFemur HeadHumansLinear ModelsMiddle AgedOsteoporosisRadiographySeverity of Illness IndexTomography Scanners, X-Ray Computed

Identifiers

PMID25887431
PMCPMC4391480
OpenAlexW1986726606

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LicenceCC BY
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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.