Evidence map›Paper›PMID 36382766›Full record

ReviewArchives of endocrinology and metabolism2022

Stress fractures.

Tatiana Munhoz da Rocha Lemos Costa, Victoria Zeghbi Cochenski Borba, Renata Gonçalves Pinheiro Correa, Carolina Aguiar Moreira

Open access · diamondAbstract readReview
In one paragraph

Review in Archives of endocrinology and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. The Role ofGenes · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. [Stress fractures].Unfallchirurgie (Heidelberg, Germany) · 2023
    Article
  13. 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

4 authors at 2 institutions in 2 countries.

Tatiana Munhoz da Rocha Lemos CostaUniversidade Federal do Paraná (UFPR), Curitiba, PR, Brasil; Serviço de Endocrinologia do Hospital de Clínicas da UFPR (SEMPR), Curitiba, PR, Brasil.
Victoria Zeghbi Cochenski BorbaDepartamento de Clínica Médica, Universidade Federal do Paraná (UFPR); Unidade de Ossos do Serviço de Endocrinologia do Hospital de Clínicas da UFPR (SEMPR), Curitiba, PR, Brasil; Ex-bolsista da Unidade de Ossos da Universidade de Arkansas para Ciências Médicas (UAMS), Arkansas, USA.
Renata Gonçalves Pinheiro CorreaUniversidade Federal do Paraná (UFPR), Curitiba, PR, Brasil.
Carolina Aguiar MoreiraDepartamento de Clínica Médica, Universidade Federal do Paraná (UFPR); Centro Acadêmico de Pesquisa do Instituto Pró-Renal (PRO), Curitiba, PR, Brasil, carolina.aguiar.moreira@gmail.com.
Hospital de Clínicas Universidade Federal do Paraná · BRUniversidade Federal do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress fractures (SF) represent 10%-20% of all injuries in sport medicine. An SF occurs when abnormal and repetitive loading is applied on normal bone: The body cannot adapt quickly enough, leading to microdamage and fracture. The etiology is multifactorial with numerous risk factors involved. Diagnosis of SF can be achieved by identifying intrinsic and extrinsic factors, obtaining a good history, performing a physical exam, and ordering laboratory and imaging studies (magnetic resonance imaging is the current gold standard). Relative energy deficiency in sport (RED-S) is a known risk factor. In addition, for women, it is very important know the menstrual status to identify long periods of amenorrhea in the past and the present. Early detection is important to improve the chance of symptom resolution with conservative treatment. Common presentation involves complaints of localized pain, with or without swelling, and tenderness on palpation of bony structures that begins earlier in training and progressively worsens with activity over a 2- to 3-week period. Appropriate classification of SF based on type, location, grading, and low or high risk is critical in guiding treatment strategies and influencing the time to return to sport. Stress injuries at low-risk sites are typically managed conservatively. Studies have suggested that calcium and vitamin D supplementation might be helpful. Moreover, other treatment regimens are not well established. Understanding better the pathophysiology of SFs and the potential utility of current and future bone-active therapeutics may well yield approaches that could treat SFs more effectively.

Indexed as

Fractures, StressBone and BonesCalcium, DietaryFemaleHumansMagnetic Resonance ImagingRisk FactorsCalcium, Dietaryathlete triadmagnetic resonanceovertrainingRED syndromeStress fractures

Identifiers

PMID36382766
PMCPMC10118812
OpenAlexW4309360642

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.