Evidence map›Paper›PMID 35484131›Full record

ReviewNature reviews. Disease primers2022

Bone stress injuries.

Tim Hoenig, Kathryn E Ackerman, Belinda R Beck, Mary L Bouxsein, David B Burr, Karsten Hollander, Kristin L Popp, Tim Rolvien, Adam S Tenforde, Stuart J Warden

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 3 pooled it
10.5field-weighted citation impact, top 1% 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

66 citing papers in PubMed, 3 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Observational
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. [Methotrexate osteopathy-a critical review].Zeitschrift fur Rheumatologie · 2026
    Review
  14. Bone Organoids: A Novel Tool for Modeling and Managing Skeletal Disorders in Diabetes.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review

6 more citing papers are in PubMed but not listed here.

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

10 authors at 9 institutions in 3 countries.

Tim HoenigDepartment of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. t.hoenig@uke.de.ORCID 0000-0002-8287-6625
Kathryn E AckermanWu Tsai Female Athlete Program, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0003-2626-7785
Belinda R BeckSchool of Health Sciences & Social Work, Griffith University, Gold Coast, Queensland, Australia.ORCID 0000-0003-1295-6395
Mary L BouxseinEndocrine Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-7027-7414
David B BurrDepartment of Anatomy, Cell Biology, and Physiology, Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA.
Karsten HollanderInstitute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany.ORCID 0000-0002-5682-9665
Kristin L PoppEndocrine Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-8029-1466
Tim RolvienDepartment of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-1058-1307
Adam S TenfordeSpaulding Rehabilitation Hospital, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Charlestown, MA, USA. atenforde@mgh.harvard.edu.ORCID 0000-0002-3966-8070
Stuart J WardenIndiana Center for Musculoskeletal Health, Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA. stwarden@iu.edu.ORCID 0000-0002-6415-4936
Universität Hamburg · DEBeth Israel Deaconess Medical Center · USBoston Children's Hospital · USGriffith University · AUHarvard University · USIndiana University Health · USIndiana University School of MedicineMSH Medical School Hamburg – University of Applied Sciences and Medical University · DEU.S. Army Research Institute of Environmental Medicine · US

Funding

Resource CoreP30AR072581 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI Sharon M Moe · 2017 to 2026
$8.3M
NIAMS NIH HHS P30 AR072581
6 · The paper itself

Abstract

Bone stress injuries, including stress fractures, are overuse injuries that lead to substantial morbidity in active individuals. These injuries occur when excessive repetitive loads are introduced to a generally normal skeleton. Although the precise mechanisms for bone stress injuries are not completely understood, the prevailing theory is that an imbalance in bone metabolism favours microdamage accumulation over its removal and replacement with new bone via targeted remodelling. Diagnosis is achieved by a combination of patient history and physical examination, with imaging used for confirmation. Management of bone stress injuries is guided by their location and consequent risk of healing complications. Bone stress injuries at low-risk sites typically heal with activity modification followed by progressive loading and return to activity. Additional treatment approaches include non-weight-bearing immobilization, medications or surgery, but these approaches are usually limited to managing bone stress injuries that occur at high-risk sites. A comprehensive strategy that integrates anatomical, biomechanical and biological risk factors has the potential to improve the understanding of these injuries and aid in their prevention and management.

Indexed as

Fractures, StressBone and BonesHumans

Identifiers

PMID35484131
PMCPMC13227457
OpenAlexW4225012182

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.