Intramuscular hemorrhage and fluid extravasation into the anterior compartment secondary to intraosseous resuscitation, the "Nicked-Cortex" sign.

Paul Wasserman, Chandana Kurra, Kristin Taylor, Jaime R Fields, Miracle Caldwell

Open access · goldAbstract readCase Reports

In one paragraph

Article in Radiology case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

Intraosseous catheter confirmation with central venous color flow and doppler waveform, a randomized single-blinded trial.Critical care (London, England) · 2026
Trial

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

5 authors at 2 institutions in 1 country.

Paul WassermanDepartment of Radiology, College of Medicine, University of Florida, 655 West 8th Street C90, Jacksonville, FL 32209, USA.

Chandana KurraDepartment of Radiology, College of Medicine, University of Florida, 655 West 8th Street C90, Jacksonville, FL 32209, USA.

Kristin TaylorDepartment of Radiology, College of Medicine, University of Florida, 655 West 8th Street C90, Jacksonville, FL 32209, USA.

Jaime R FieldsCollege of Medicine, University of Florida, Gainesville, FL, USA.

Miracle CaldwellJacksonville University, Jacksonville, FL, USA.

University of Florida · USJacksonville University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intraosseous needle access is a reliable method of vascular access used for rapid fluid resuscitation and delivery of medications in certain emergent settings. Fluid extravasation is a possible complication of intraosseous needle access that can lead to compartment syndrome. To our knowledge, imaging findings resulting from this complication have not been described. In this case report, we demonstrate conventional radiograph, computed tomography, and magnetic resonance image findings due to extravasation of resuscitation fluids following the aberrant insertion of an intraosseous needle in an unstable adult trauma patient. We also describe a new radiographic sign associated with this iatrogenic complication, the "Nicked-Cortex" sign.

Indexed as

Compartment syndromeExtravasationIntraosseous needle“Nicked-Cortex” sign

Identifiers

PMID31695835

DOI10.1016/j.radcr.2019.09.013

PMCPMC6823788

OpenAlexW2978201918

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

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Registered trials

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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.