Evidence map›Paper›PMID 34465684›Full record

ArticleJournal of musculoskeletal & neuronal interactions2021

Simultaneous bilateral posteromedial tibial epiphysis stress fractures in a healthy young man: A case report.

Apostolos Fyllos, Vasileios Mitrousias, Vasileios Raoulis, Vasileios Lampridis, Evangelia Vassalou, Apostolos Karantanas, Aristeidis Zibis

Abstract readCase Reports
In one paragraph

Article in Journal of musculoskeletal & neuronal interactions, 2021. 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
–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

1 citing paper in PubMed.

  1. Article
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.

Apostolos FyllosDepartment of Anatomy, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Vasileios MitrousiasDepartment of Anatomy, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Vasileios RaoulisDepartment of Anatomy, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Vasileios Lampridis424 Military General Hospital, Department of Trauma and Orthopaedics, Thessaloniki, Greece.
Evangelia VassalouDepartment of Radiology, General Hospital of Sitia, Sitia, Crete, Greece.
Apostolos KarantanasDepartment of Medical Imaging, University Hospital, Heraklion, Greece.
Aristeidis ZibisDepartment of Anatomy, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a compelling case of simultaneous, bilateral tibial stress fractures occurring in a unique epiphyseal and posterior location, with unclear aetiology. An overweight, Caucasian male in his late 20s developed synchronous bilateral medial knee pain following an intense 10-day training regimen. His radiographies were normal, but MRI revealed almost identical bilateral stress fracture lines in the posteromedial tibial epiphyses. Bone mineral densitometry and a full metabolic and hormonal panel were performed to further investigate potential underlying metabolic bone disease. He was found to have normal bone mineral densitometry and low Vitamin D serum values. Symptomatology greatly improved with activity modification. There were no further complaints and complications at 12 months' follow-up. Diagnosis can be challenging and the treating physician should be acquainted with the basic science of stress fractures and main discriminating clinical, biochemical and radiological characteristics from insufficiency fractures, to avoid pitfalls in treatment decision.

Indexed as

Fractures, StressTibial FracturesEpiphysesHumansKnee JointMaleTibiaAthletic InjuriesBoneDiagnosisExerciseKnee

Identifiers

PMID34465684
PMCPMC8426658

What OpenQuestion holds

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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.