Evidence map›Paper›PMID 34591136›Full record

ArticleUnfallchirurgie (Heidelberg, Germany)2022

[Analysis of 6851 foot and ankle injuries from 2010-2017 in an emergency department].

Patrick Pflüger, Markus Wurm, Peter Biberthaler, Dominik Pförringer, Moritz Crönlein

Open access · hybridAbstract read
In one paragraph

Article in Unfallchirurgie (Heidelberg, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. [External fixation combined with microsurgical techniques for repairing complex foot and ankle wounds in children].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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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

5 authors at 3 institutions in 1 country.

Patrick PflügerKlinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland. patrick.pflueger@mri.tum.de.
Markus WurmKlinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Peter BiberthalerKlinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Dominik PförringerKlinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Moritz CrönleinKlinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Klinikum rechts der Isar · DELMU Klinikum · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFoot and ankle injuries are among the most common lesions in traumatology, accounting for more than one in ten human fractures. The aim of this study was to investigate the demographic changes of patients with foot and ankle injuries, the temporal occurrence and the development over the years in an emergency department. MATERIAL AND

methodsRetrospective study of patients treated for foot and ankle injuries in the emergency department from 2010-2017. Patients were identified by ICD codes and demographic changes, temporal occurrence and the development over the years were analyzed. Using quantile-quantile plots, continuous variables were tested for normal distribution and, if applicable, tested for significance using t‑tests or non-parametric Mann-Whitney U‑tests.

resultsA total of 6581 foot and ankle injuries were included in the analysis. The mean age of patients with a foot fracture was 39 ± 17.4 years and with an ankle fracture 47 ± 19.2 years (p < 0.001). Ligamentous ankle injuries occurred particularly in younger patients during the summer months. The age distribution of ankle fractures showed a peak incidence between 30-39 years of age for men and an increased occurrence in women over 50 years. In the age group between 65 and 75 years trimalleolar ankle fractures represented the second most common ankle fracture. Fractures of the foot most commonly affected patients aged 20-29 years, with a second peak incidence in women between the ages of 50 and 59 years.

conclusionLigamentous injuries of the ankle joint are common injuries in the emergency department and affect mainly younger patients. Ankle fractures showed a bimodal age distribution for women and especially bimalleolar and trimalleolar fractures were more common in women aged 65 years and older. Because of the increased prevalence of foot and ankle fractures in older women, further osteoporosis evaluation should be initiated in this patient population.

Indexed as

Ankle FracturesAnkle InjuriesFoot InjuriesAdultAgedEmergency Service, HospitalFemaleHumansMaleMiddle AgedRetrospective StudiesAnkleEpidemiologyFootOsteoporosisTrauma surgery

Identifiers

PMID34591136
PMCPMC9515139
OpenAlexW3202117348

What OpenQuestion holds

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LicenceCC BY
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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.