Evidence map›Paper›PMID 36046995›Full record

ReviewJournal of musculoskeletal & neuronal interactions2022

Fatigue sacral fractures: A case series and literature review.

Aikaterini Tsatsaragkou, Konstantinos Vlasis, Konstantinos Raptis, Evaggelos Zafeiris, Andriana Mari, Kalliopi Alpantaki, Christos Koutserimpas

Abstract readReview
In one paragraph

Review in Journal of musculoskeletal & neuronal interactions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Fatigue Fracture of the Femoral Neck.Journal of musculoskeletal & neuronal interactions · 2024
    Article
  2. Article
  3. Bilateral Fatigue Fractures of the Femur.Journal of musculoskeletal & neuronal interactions · 2023
    Article
  4. Review
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.

Aikaterini TsatsaragkouDepartment of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Konstantinos VlasisDepartment of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Konstantinos RaptisDepartment of Orthopaedics and Traumatology, "251" Hellenic Air Force General Hospital of Athens, Greece.
Evaggelos Zafeiris2nd Orthopaedic Department, "Konstantopouleio" General Hospital of Athens, Greece.
Andriana MariDepartment of Internal Medicine, "251" Hellenic Air Force General Hospital of Athens, Greece.
Kalliopi AlpantakiDepartment of Orthopaedics and Traumatology, "Venizeleion" General Hospital of Heraklion, Crete, Greece.
Christos KoutserimpasDepartment of Orthopaedics and Traumatology, "251" Hellenic Air Force General Hospital of Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFatigue sacral fractures (FSFs) are rare and often misdiagnosed. This study presents a series of FSFs and a meticulous literature review.

methodsThe present is an 11-year (2010-2021) retrospective observational study. The characteristics of all adult patients with FSF, including demographics, fracture type, treatment, history of fatigue fracture and imaging were evaluated.

resultsEight cases (6 females; 75%), suffering from 12 fractures (4 bilateral cases) with mean age=33.4 years were studied. Two patients (25%) had suffered another fatigue fracture in the past. Mean symptoms' duration prior diagnosis was 8.5 weeks, while mean symptoms' duration after diagnosis was 10.75. In most cases (7; 87.5%), MRI revealed the fracture. According to the Kaeding-Miller classification; five fractures (42%) were grade III, four (33%) IV and three (25%) II. All patients were treated conservatively, with rest and analgesics, while three received vitamin D and calcium. One patient, due to delayed union, was commenced on teriparatide.

conclusionsFSFs are often misdiagnosed; therefore, they should be included in the differential diagnosis for chronic low back-or-hip pain in athletes. History of other fatigue injuries seems to be a predisposing factor. It is of paramount importance to obtain advanced imaging for identifying a FSF.

Indexed as

Fractures, StressSpinal FracturesAdultFemaleHumansObservational Studies as TopicRetrospective StudiesSacrumTeriparatideTeriparatideFatigue FractureFatigue Fractures in AthletesSacral FractureTeriparatideVitamin D

Identifiers

PMID36046995
PMCPMC9438517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.