Evidence map›Paper›PMID 40408239›Full record

ReviewPain2025

A bad break: mechanisms and assessment of acute and chronic pain after bone fracture.

Haruki Nishimura, Jonathan Layne, Kohei Yamaura, Ralph Marcucio, Kazuhito Morioka, Allan I Basbaum, Jarret A P Weinrich, Chelsea S Bahney

Abstract readReview
In one paragraph

Review in Pain, 2025. 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
–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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  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.

Haruki NishimuraCenter for Regenerative and Personalized Medicine, Steadman Philippon Research Institute, Vail, CO, United States.ORCID 0000-0002-5070-1185
Jonathan LayneCenter for Regenerative and Personalized Medicine, Steadman Philippon Research Institute, Vail, CO, United States.ORCID 0000-0001-9245-0989
Kohei YamauraCenter for Regenerative and Personalized Medicine, Steadman Philippon Research Institute, Vail, CO, United States.ORCID 0000-0003-2878-1390
Ralph MarcucioThe Orthopaedic Trauma Institute, University of California, San Francisco (UCSF), San Francisco, CA, United States.ORCID 0000-0002-0537-818
Kazuhito MoriokaThe Orthopaedic Trauma Institute, University of California, San Francisco (UCSF), San Francisco, CA, United States.ORCID 0000-0001-5407-8178
Allan I BasbaumDepartment of Anatomy, UCSF, San Francisco, CA, United States.
Jarret A P WeinrichDepartment of Anatomy, UCSF, San Francisco, CA, United States.ORCID 0000-0003-0310-0923
Chelsea S BahneyCenter for Regenerative and Personalized Medicine, Steadman Philippon Research Institute, Vail, CO, United States.

Funding

From the spinal cord to the brain: Neurology of the pain and itch neuronsR35NS097306 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASBAUM, ALLAN I. · 2017 to 2024
$7.2M
Therapeutic Application of Painless Nerve Growth Factor to Accelerate Endochondral Fracture RepairR01AR077761 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BAHNEY, CHELSEA SHIELDS · 2021 to 2025
$3.2M
National Institue of Health NIH-NSR35097306NIAMS NIH HHS R01 AR077761NIAMS NIH HHS R01-AR077761NIAMS NIH HHS R35-NS097306NINDS NIH HHS R35 NS097306
6 · The paper itself

Abstract

abstractPain is one of the primary indicators of a bone fracture and serves both a functional and practical role in guiding recovery. However, fracture pain can persist long after the fracture itself has clinically healed. The neural and molecular mechanisms that drive acute pain postfracture, and how these mechanisms are pathologically usurped to trap patients into persistent, debilitating, and often difficult to treat, chronic pain, are not well understood. The aim of this review is to provide insight into the risk factors for pain persistence after fracture, review the physiological and pathophysiological mechanisms of fracture pain, and critically evaluate the literature around fracture pain assessment techniques/models. Taken together, the concepts covered herein will provide a strong foundation to support the development of more effective treatments to better alleviate postfracture pain.

Indexed as

Acute PainChronic PainFractures, BonePain MeasurementAnimalsHumansChronic fracture painFracture-related painInnervation of fracture callusPreclinical pain models

Identifiers

PMID40408239
PMCPMC12354150

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.