Evidence map›Paper›PMID 26109829›Full record

ReviewThe Journal of manual & manipulative therapy2015

Risk factors associated with sacral stress fractures: a systematic review.

Kristi Yoder, Jenna Bartsokas, Kristina Averell, Erin McBride, Christine Long, Chad Cook

Open access · greenAbstract readReview
In one paragraph

Review in The Journal of manual & manipulative therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

19 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Sacral U-type Fractures in Patients Older Than 65 years.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Article
  6. Sacral insufficiency fractures are a frequent and painful consequence of pubic symphysis osteomyelitis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  7. Article
  8. Sacral stress fractures in athletes.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 · 2022
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Observational
  17. Review
  18. Article
  19. Review
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

6 authors at 1 institution in 1 country.

Kristi YoderDepartment of Physical Therapy, Walsh University, North Canton, OH, USA.
Jenna BartsokasDepartment of Physical Therapy, Walsh University, North Canton, OH, USA.
Kristina AverellDepartment of Physical Therapy, Walsh University, North Canton, OH, USA.
Erin McBrideDepartment of Physical Therapy, Walsh University, North Canton, OH, USA.
Christine LongDepartment of Physical Therapy, Walsh University, North Canton, OH, USA.
Chad CookDepartment of Physical Therapy, Walsh University, North Canton, OH, USA.
Walsh University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study was to examine and identify risk factors associated with the development of sacral stress fractures in order to improve diagnosis in clinical practice.

methodsElectronic search strategies in PubMed, CINAHL, Scopus, and SPORTDiscus were combined with a hand search to identify articles for inclusion. Studies were considered if they described patient cases in which imaging confirmed diagnosis of a sacral stress fracture, and the diagnosis included whether the fracture was a sacral insufficiency or sacral fatigue stress fracture.

resultsIn those that developed sacral insufficiency fractures, the risk factors that were most prevalent included osteoporosis, pelvic radiation therapy, rheumatoid arthritis, long-term corticosteroid therapy, and postmenopausal, each with a prevalence of 100%. Risk factors with 100% prevalence in those diagnosed with sacral fatigue fractures included recent increase in training intensity and deficient diet. DISCUSSION: A pattern of signs and symptoms are consistent among subjects with sacral stress fractures. Patients being unsuccessfully treated for low-back and buttock pain who fit the risk factor profiles for sacral stress fractures should be referred to a physician for further diagnostic workup.

Indexed as

Fatigue fractureInsufficiency fractureRisk factorsSacral stress fracture

Identifiers

PMID26109829
PMCPMC4461718
OpenAlexW2025516402

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.