Evidence map›Paper›PMID 32561954›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2020

Multiple ipsilateral femoral stress fractures in a patient taking denosumab for osteoporosis-a case report.

H I Piponov, J M Goldstein, G M Eisenberg

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Latent metabolic bone disease, skeletal dysplasia and other conditions related to low bone formation among 38 patients with subtrochanteric femoral fractures: a retrospective observational study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Observational
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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

3 authors at 3 institutions in 1 country.

H I PiponovDepartment of Orthopaedics, University of Illinois at Chicago, 835 S. Wolcott Avenue E-270 MSS MC 844, Chicago, IL, 60612-7342, USA. piponov@uic.edu.
J M GoldsteinAdvocate Lutheran General Hospital, Park Ridge, IL, USA.
G M EisenbergAdvocate Lutheran General Hospital, Park Ridge, IL, USA.
Advocate Lutheran General Hospital · USIllinois Bone and Joint Institute · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is the first report describing three ipsilateral femoral stress fractures in a patient taking denosumab.

introductionMultiple reports of atypical femur fractures (AFF) in patients receiving denosumab have emerged recently. Denosumab is an anti-resorptive agent approved for treatment of osteoporosis. It is a human monoclonal antibody which blocks osteoclast activation, maturation, and function.

methodsThis is a case report of a 74-year-old female patient who sustained three stress fractures of her left femur.

resultsThe patient healed her fractures after intramedullary nailing of the femur and was able to return to her activities.

conclusionsHigh index of suspicion is needed in any patient with osteoporosis on denosumab complaining of thigh or groin pain. Careful examination and radiographic studies of both femurs are warranted if AFF is discovered.

Indexed as

Bone Density Conservation AgentsDenosumabFemoral FracturesFractures, StressOsteoporosisAgedDiphosphonatesFemaleFemurHumansBone Density Conservation AgentsDenosumabDiphosphonatesAtypical femur fracturesBisphosphonatesDenosumabOsteoporosisProliaStress fractures

Identifiers

PMID32561954
OpenAlexW3036234746

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.