Evidence map›Paper›PMID 29684510›Full record

ReviewThe journal of pain2018

The Rodent Tibia Fracture Model: A Critical Review and Comparison With the Complex Regional Pain Syndrome Literature.

Frank Birklein, Alaa Ibrahim, Tanja Schlereth, Wade S Kingery

Open access · greenAbstract readComparative StudyReview
In one paragraph

Review in The journal of pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
8.1field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  13. Temporal Contribution of Myeloid-Lineage TLR4 to the Transition to Chronic Pain: A Focus on Sex Differences.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
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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

4 authors at 2 institutions in 2 countries.

Frank BirkleinUniversity Medical Center of the Johannes Gutenberg University Mainz, Department of Neurology, Mainz, Germany.
Alaa IbrahimUniversity Medical Center of the Johannes Gutenberg University Mainz, Department of Neurology, Mainz, Germany.
Tanja SchlerethUniversity Medical Center of the Johannes Gutenberg University Mainz, Department of Neurology, Mainz, Germany.
Wade S KingeryPalo Alto Veterans Institute for Research, Veterans Affairs Palo Alto Health Care System, Palo Alto, California. Electronic address: wkingery@stanford.edu.
Johannes Gutenberg University Mainz · DEPalo Alto Veterans Institute for Research · US

Funding

Neural Immunoregulation of Post-Traumatic AutoimmunityR01NS094438 · NINDS · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI DAVID J. CLARK, WADE S KINGERY · 2016 to 2026
$4.4M
Autonomic Regulation of the Immunological Response to Limb InjuryI01RX001475 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI CLARK, DAVID J. · 2015 to 2025
–
NINDS NIH HHS R01 NS094438RRD VA I01 RX001475
6 · The paper itself

Abstract

Distal limb fracture is the most common cause of complex regional pain syndrome (CRPS), thus the rodent tibia fracture model (TFM) was developed to study CRPS pathogenesis. This comprehensive review summarizes the published TFM research and compares these experimental results with the CRPS literature. The TFM generated spontaneous and evoked pain behaviors, inflammatory symptoms (edema, warmth), and trophic changes (skin thickening, osteoporosis) resembling symptoms in early CRPS. Neuropeptides, inflammatory cytokines, and nerve growth factor (NGF) have been linked to pain behaviors, inflammation, and trophic changes in the TFM model and proliferating keratinocytes were identified as the primary source of cutaneous cytokines and NGF. Tibia fracture also activated spinal glia and upregulated spinal neuropeptide, cytokine, and NGF expression, and in the brain it changed dendritic architecture. B cell-expressed immunoglobulin M antibodies also contributed to pain behavior, indicating a role for adaptive immunity. These results modeled many findings in early CRPS, but significant differences were also noted. PERSPECTIVE: Multiple neuroimmune signaling mechanisms contribute to the pain, inflammation, and trophic changes observed in the injured limb of the rodent TFM. This model replicates many of the symptoms, signs, and pathophysiology of early CRPS, but most post-fracture changes resolve within 5 months and may not contribute to perpetuating chronic CRPS.

Indexed as

Complex Regional Pain SyndromesDisease Models, AnimalTibial FracturesAnimalsMiceRatsautoimmunitycomplex regional pain syndromecytokinefractureinnate immunityneuropeptidePain

Identifiers

PMID29684510
PMCPMC6163066
OpenAlexW2801872281

What OpenQuestion holds

Textmetadata
LicenceTDM
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.