Evidence map›Paper›PMID 34543564›Full record

ArticlePuerto Rico health sciences journal2021

Musculoskeletal Conditions in the Emergency Room: A Teaching Opportunity for Medical Students and Residents.

Richard Fontánez, William Ramos-Guasp, Humberto Ramírez, Kevin De Jesús, José G Conde, Juan González, Walter R Frontera

Abstract read
In one paragraph

Article in Puerto Rico health sciences journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Emergency Department Guidelines for Orthopedic Consultation in an Academic Trauma Center: Effect on ED Throughput and Consultation Utilization.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  4. Article
  5. Plaster versus fiberglass splinting for the acute treatment of displaced ankle fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Musculoskeletal Clinical Online Cases With a Focus on Anatomy for Preclinical Learners.MedEdPORTAL : the journal of teaching and learning resources · 2024
    Article
  10. Article
  11. Effect of the COVID-19 Pandemic on Musculoskeletal Care in the Emergency Room.Disaster medicine and public health preparedness · 2022
    Article
  12. 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.

Richard FontánezDepartment of Physical Medicine, Rehabilitation & Sports Medicine.
William Ramos-GuaspDepartment of Physical Medicine, Rehabilitation & Sports Medicine.
Humberto RamírezDepartment of Physical Medicine, Rehabilitation & Sports Medicine.
Kevin De JesúsDepartment of Physical Medicine, Rehabilitation & Sports Medicine.
José G CondeBiomedical Sciences Program.
Juan GonzálezDepartment of Emergency Medicine.
Walter R FronteraDepartment of Physical Medicine, Rehabilitation & Sports Medicine; Department of Physiology and Biophysics, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

Funding

Upstream Regulation and Downstream effectors of c-MYC in Ovarian CancerU54MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Souhail M Malave-Rivera · 2017 to 2026
$35.8M
Hispanics in Research Capability: SoHP & SOM Partnership (HIREC)S21MD001830 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ELIAS BONETA, AUGUSTO R, ESTAPE, ESTELA S · 2005 to 2010
$30.0M
NIMHD NIH HHS S21 MD001830NIMHD NIH HHS U54 MD007600
6 · The paper itself

Abstract

objectiveAssess the potential value of an emergency room (ER) for the teaching of musculoskeletal (MSK) medicine to medical students and residents in training.

methodsData from all encounters to the ER of a teaching hospital for calendar years 2016-2019 were extracted from an electronic database. Encounters with ICD-10-CM M codes (MSK system) and S codes (injury) were selected (MSK encounters). Frequency distributions were calculated by year, sex, and age group for all encounters and MSK encounters. Annual distributions of encounters involving the shoulder, hip, knee, and ankle joints were assessed.

resultsThe number of unique patients seen during the four-year period was 84,094, and the number of encounters was 187,829 (Median: 1 encounter; interquartile range: 1-2). The mean number of encounters per year was 46,957 (range: 45,311- 48,382). There was no seasonal variation. Most patients were women (45,868; 54.6%) and young (20 29 yr.) adults (15,012; 17.8%), and these groups generated the largest numbers of encounters (women: 108,799; 57.9%; young adults: 35,969; 19.1%). A total of 41,353 encounters (22.0% of all encounters) involved the MSK system. The shoulder, hip, knee, and ankle were involved in 2,768 (1.5%), 1,592 (0.8%), 3,082 (1.6%), and 1,718 (0.9%) encounters, respectively. The most common conditions for each joint were shoulder pain, femoral fracture, knee contusion, and ankle sprain.

conclusionOur findings suggest that ER physicians should have broad knowledge of MSK conditions and injuries. An ER is an excellent location for the teaching of MSK medicine to medical students and residents of other training programs.

Indexed as

Internship and ResidencyMusculoskeletal DiseasesStudents, MedicalTeachingAdultEmergency Service, HospitalFemaleHumansMaleEmergency room encountersICD-10Joint health conditionsMusculoskeletal injury

Identifiers

PMID34543564
PMCPMC9119411

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.