Evidence map›Paper›PMID 27002328›Full record

ReviewEmergency radiology2016

Stress fractures: pathophysiology, clinical presentation, imaging features, and treatment options.

George R Matcuk, Scott R Mahanty, Matthew R Skalski, Dakshesh B Patel, Eric A White, Christopher J Gottsegen

Abstract readReview
PubMed Publisher
In one paragraph

Review in Emergency radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% 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

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 241 citations in OpenAlex.

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  8. Medial tibial stress syndrome.Musculoskeletal surgery · 2026
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25 more citing papers are in PubMed but not listed here.

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 4 institutions in 1 country.

George R MatcukDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA. matcuk@usc.edu.ORCID http://orcid.org/0000-0002-2858-0794
Scott R MahantyDepartment of Radiology, University of California San Francisco, San Francisco, CA, 94143, USA.
Matthew R SkalskiDepartment of Radiology, Southern California University of Health Sciences, Whittier, CA, 90604, USA.
Dakshesh B PatelDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA.
Eric A WhiteDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA.
Christopher J GottsegenDepartment of Radiology, New York University, Langone Medical Center, New York, NY, 10016, USA.
University of Southern California · USNYU Langone Health · USSouthern California University of Health Sciences · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress fracture, in its most inclusive description, includes both fatigue and insufficiency fracture. Fatigue fractures, sometimes equated with the term "stress fractures," are most common in runners and other athletes and typically occur in the lower extremities. These fractures are the result of abnormal, cyclical loading on normal bone leading to local cortical resorption and fracture. Insufficiency fractures are common in elderly populations, secondary to osteoporosis, and are typically located in and around the pelvis. They are a result of normal or traumatic loading on abnormal bone. Subchondral insufficiency fractures of the hip or knee may cause acute pain that may present in the emergency setting. Medial tibial stress syndrome is a type of stress injury of the tibia related to activity and is a clinical syndrome encompassing a range of injuries from stress edema to frank-displaced fracture. Atypical subtrochanteric femoral fracture associated with long-term bisphosphonate therapy is also a recently discovered entity that needs early recognition to prevent progression to a complete fracture. Imaging recommendations for evaluation of stress fractures include initial plain radiographs followed, if necessary, by magnetic resonance imaging (MRI), which is preferred over computed tomography (CT) and bone scintigraphy. Radiographs are the first-line modality and may reveal linear sclerosis and periosteal reaction prior to the development of a frank fracture. MRI is highly sensitive with findings ranging from periosteal edema to bone marrow and intracortical signal abnormality. Additionally, a brief description of relevant clinical management of stress fractures is included.

Indexed as

Diagnostic ImagingFracture FixationFractures, StressHumansRisk FactorsBisphosphonate-related atypical subtrochanteric femoral fractureFatigue fractureInsufficiency fractureMedial tibial stress syndromeStress fractureSubchondral insufficiency fracture

Identifiers

PMID27002328
OpenAlexW2321352096

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.