Evidence map›Paper›PMID 34626284›Full record

ArticleEmergency radiology2022

Upper extremity fractures due to intimate partner violence versus accidental causes.

Bharti Khurana, Ali Raja, George S M Dyer, Steven E Seltzer, Giles W Boland, Mitchel B Harris, Paul Tornetta, Randall T Loder

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Emergency radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Using Radiology as a Screening Tool to Identify Intimate Partner Violence.Journal of the American College of Radiology : JACR · 2025
    Article
  4. Article
  5. 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

8 authors at 4 institutions in 1 country.

Bharti KhuranaTrauma Imaging Research and Innovation Center, Division of Emergency Radiology, Brigham and Women's Hospital, Boston, MA, 02115, USA. bkhurana@bwh.harvard.edu.ORCID http://orcid.org/0000-0002-7159-3435
Ali RajaDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, MA, 02115, USA.
George S M DyerDepartment of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
Steven E SeltzerBrigham and Women's Hospital, Boston, MA, 02115, USA.
Giles W BolandBrigham and Women's Hospital, Boston, MA, 02115, USA.
Mitchel B HarrisDepartment of Orthopedic Surgery, Massachusetts General Hospital, Boston, MA, 02114, USA.
Paul TornettaDepartment of Orthopedics, Boston Medical Center, Boston, MA, USA.
Randall T LoderRiley Children's Hospital, ROC 4250, 705 Riley Hospital Drive, Indianapolis, IN, 46202, USA.
Brigham and Women's Hospital · USMassachusetts General Hospital · USBoston Medical Center · USRiley Hospital for Children · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to evaluate the prevalence of intimate partner violence (IPV)-related upper extremity fractures (UEF) in women presenting to US emergency departments (ED) and compare their anatomic location to those due to accidental falls or strikes.

methodsAn Institutional Review Board exempt, retrospective review of prospectively collected data was performed using the National Electronic Injury Surveillance System's All Injury Program data from 2005 through 2015 for all UEF sustained in women 15 to 54 years old. Injuries based on reported IPV versus accidental falls or strikes were analyzed accounting for the weighted, stratified nature of the data.

resultsIPV-related UEF represented 1.7% of all UEF and 27.2% of all IPV fractures. The finger was the most common fracture site in IPV (34.3%) and accidental striking (53.3%) but accounted for only 10% of fall-related UEF. There was a higher proportion of shoulder fractures in IPV (9.2%) compared to accidental falls (7.4%) or strikes (2.9%). The odds of a finger fracture were 4.32 times greater in IPV than falling and of a shoulder fracture were 3.65 greater in IPV than accidental striking (p < 0.0001).

conclusionsWhile the finger is the most common site for IPV UEF, it is also the most common location for accidental striking. A lower proportion of finger fractures in fall and of shoulder/forearm fractures in accidental striking should prompt the radiologist to discuss the possibility of IPV with the ED physician in any woman presenting with a finger fracture due to fall and a shoulder/forearm fracture with a vague history of accidental striking.

Indexed as

Arm InjuriesIntimate Partner ViolenceShoulder FracturesAdolescentAdultFemaleHumansMiddle AgedPrevalenceRetrospective StudiesUpper ExtremityYoung AdultFinger fracturesIntimate partner violenceUpper extremity fractures

Identifiers

PMID34626284
PMCPMC8501321
OpenAlexW3203393126

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.