Evidence map›Paper›PMID 38236509›Full record

ReviewCurrent osteoporosis reports2024

Role of the Neurologic System in Fracture Healing: An Extensive Review.

Reginald S Parker, Murad K Nazzal, Ashlyn J Morris, Jill C Fehrenbacher, Fletcher A White, Melissa A Kacena, Roman M Natoli

Open access · hybridAbstract readReview
In one paragraph

Review in Current osteoporosis reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Beyond the initial impact: a systematic review of post-traumatic bone loss and its mechanisms.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  20. Bioengineering (Basel, Switzerland) · 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

7 authors at 2 institutions in 1 country.

Reginald S Parker *Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Murad K Nazzal *Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Ashlyn J Morris *Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Jill C FehrenbacherDepartment of Pharmacology and Toxicology, Indiana University School of Medicine, Indianapolis, IN, USA.
Fletcher A WhiteIndiana Center for Musculoskeletal Health, Indiana University School of Medicine, Indianapolis, IN, USA.
Melissa A KacenaDepartment of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA. mkacena@iupui.edu.
Roman M NatoliDepartment of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA. rnatoli@iupui.edu.
Indiana University School of MedicineIndiana University – Purdue University Indianapolis · US

Funding

Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Comprehensive Training Program in Musculoskeletal ResearchT32AR065971 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI ALEXANDER G ROBLING · 2015 to 2026
$4.4M
Angiogenic Therapy: Novel Approaches to Enhance Bone Regeneration in Aging - LOADR01AG060621 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI KACENA, MELISSA A, LI, JILIANG · 2019 to 2023
$3.7M
Short-Term Training Program In Biomedical SciencesT35HL110854 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Brittney-Shea Herbert, Catherine Rufatto Sears · 2012 to 2026
$3.4M
The role of cell-specific TLR-4 signaling in oxaliplatin-induced peripheral neuropathyR01NS102415 · NINDS · INDIANA UNIVERSITY INDIANAPOLIS · PI WHITE, FLETCHER A · 2018 to 2022
$2.2M
Impact of TPO Treatment on Bone Healing and Angiogenesis in Type 2 DiabetesI01BX003751 · VA · RLR VA MEDICAL CENTER · PI KACENA, MELISSA A · 2017 to 2021
–
RR&D Research Career Scientist Award ApplicationIK6RX004809 · VA · RLR VA MEDICAL CENTER · PI KACENA, MELISSA A · 2023 to 2025
–
"Novel therapeutic approaches to improve fracture healing while reducing pain behavior"I01RX003552 · VA · RLR VA MEDICAL CENTER · PI KACENA, MELISSA A · 2022 to 2025
–
BLRD VA I01 BX003751BLRD VA I01 BX006399NCATS NIH HHS UL1 TR002529NHLBI NIH HHS T35 HL110854NIAMS NIH HHS T32 AR065971NIA NIH HHS R01 AG060621NIH HHS AG060621NIH HHS AR065971NIH HHS HL110854NINDS NIH HHS R01 NS102415RRD VA I01 RX003552RRD VA IK6 RX004809
6 · The paper itself

Abstract

purpose of reviewDespite advances in orthopedics, there remains a need for therapeutics to hasten fracture healing. However, little focus is given to the role the nervous system plays in regulating fracture healing. This paucity of information has led to an incomplete understanding of fracture healing and has limited the development of fracture therapies that integrate the importance of the nervous system. This review seeks to illuminate the integral roles that the nervous system plays in fracture healing. RECENT

findingsPreclinical studies explored several methodologies for ablating peripheral nerves to demonstrate ablation-induced deficits in fracture healing. Conversely, activation of peripheral nerves via the use of dorsal root ganglion electrical stimulation enhanced fracture healing via calcitonin gene related peptide (CGRP). Investigations into TLR-4, TrkB agonists, and nerve growth factor (NGF) expression provide valuable insights into molecular pathways influencing bone mesenchymal stem cells and fracture repair. Finally, there is continued research into the connections between pain and fracture healing with findings suggesting that anti-NGF may be able to block pain without affecting healing. This review underscores the critical roles of the central nervous system (CNS), peripheral nervous system (PNS), and autonomic nervous system (ANS) in fracture healing, emphasizing their influence on bone cells, neuropeptide release, and endochondral ossification. The use of TBI models contributes to understanding neural regulation, though the complex influence of TBI on fracture healing requires further exploration. The review concludes by addressing the neural connection to fracture pain. This review article is part of a series of multiple manuscripts designed to determine the utility of using artificial intelligence for writing scientific reviews.

Indexed as

Artificial IntelligenceFracture HealingCalcitonin Gene-Related PeptideHumansNervous SystemPainCalcitonin Gene-Related PeptideAIArtificial intelligenceAutonomic nervous systemChatGPTFracture and Chronic PainFracture and Neural RegulationFracture and NeuropeptidesFracture and Traumatic Brain InjuryFracture healingNeural regulationNeuropeptidesPain management in fractures

Identifiers

PMID38236509
PMCPMC10912173
OpenAlexW4390979923

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.