Evidence map›Paper›PMID 34439991›Full record

ReviewBiology2021

Diabetic Foot: The Role of Fasciae, a Narrative Review.

Carmelo Pirri, Caterina Fede, Nina Pirri, Lucia Petrelli, Chenglei Fan, Raffaele De Caro, Carla Stecco

Abstract readReview
In one paragraph

Review in Biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Detection of Mast Cells in Human Superficial Fascia.International journal of molecular sciences · 2023
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. 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

7 authors.

Carmelo PirriDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padua, Italy.ORCID 0000-0002-0119-6549
Caterina FedeDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padua, Italy.ORCID 0000-0002-4372-7889
Nina PirriSchool of Medicine and Surgery, University of Messina, 98125 Messina, Italy.
Lucia PetrelliDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padua, Italy.
Chenglei FanDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padua, Italy.ORCID 0000-0002-1129-0379
Raffaele De CaroDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padua, Italy.ORCID 0000-0002-2307-0277
Carla SteccoDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padua, Italy.ORCID 0000-0002-8767-4555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wound healing is an intricate, dynamic process, in which various elements such as hyperglycemia, neuropathy, blood supply, matrix turnover, wound contraction, and the microbiome all have a role in this "out of tune" diabetic complex symphony, particularly noticeable in the complications of diabetic foot. Recently it was demonstrated that the fasciae have a crucial role in proprioception, muscular force transmission, skin vascularization and tropism, and wound healing. Indeed, the fasciae are a dynamic multifaceted meshwork of connective tissue comprised of diverse cells settled down in the extracellular matrix and nervous fibers; each constituent plays a particular role in the fasciae adapting in various ways to the diverse stimuli. This review intends to deepen the discussion on the possible fascial role in diabetic wounds. In diabetes, the thickening of collagen, the fragmentation of elastic fibers, and the changes in glycosaminoglycans, in particular hyaluronan, leads to changes in the stiffness, gliding, and the distribution of force transmission in the fasciae, with cascading repercussions at the cellular and molecular levels, consequently feeding a vicious pathophysiological circle. A clear scientific perception of fascial role from microscopic and macroscopic points of view can facilitate the identification of appropriate treatment strategies for wounds in diabetes and create new perspectives of treatment.

Indexed as

collagendiabetesdiabetic footfasciahyaluronanstiffnesssuperficial fasciawounds

Identifiers

PMID34439991
PMCPMC8389550

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.