Evidence map›Paper›PMID 40757145›Full record

ArticleJBMR plus2025

Ectopic pseudojoints in fibrodysplasia ossificans progressiva.

Robert J Pignolo, Mona Al Mukaddam, Stephen Broski, Rolf Morhart, Luke T Drake, Bruce Kneeland, O Will Towler, Frederick S Kaplan

Abstract readCase Reports
In one paragraph

Article in JBMR plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Robert J PignoloDepartment of Medicine, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, MN 55905, United States.ORCID https://orcid.org/0000-0002-8533-9438
Mona Al MukaddamDepartment of Orthopaedic Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, United States.ORCID https://orcid.org/0000-0002-7138-596X
Stephen BroskiDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, United States.
Rolf MorhartDepartment of Pediatrics, Klinikum Garmisch-Partenkirchen GmbH, Garmisch-Partenkirchen, 82467, Germany.
Luke T DrakeDepartment of Medicine, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, MN 55905, United States.
Bruce KneelandDepartment of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, United States.
O Will TowlerCenter for Research in FOP and Related Disorders, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, United States.
Frederick S KaplanDepartment of Orthopaedic Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudoarthroses (false joints) occur as a complication of fracture healing in the normotopic skeleton but have not been reported at ectopic sites. Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare genetic disorder characterized by progressive heterotopic ossification (HO) and congenital skeletal abnormalities including developmental arthropathy in the normotopic skeleton. Here, we report ectopic pseudojoint formation in 6 patients with FOP, all occurring after painful flare-ups and HO in soft connective tissues of the knee, hip, and forearm. To our knowledge, FOP is the only human condition in which ectopic pseudojoint formation occurs. These findings support that dysregulated BMP pathway signaling from mutant ACVR1 mediates not only HO, but also ectopic pseudojoint formation, and that ectopic pseudojoints can arise from de novo musculoskeletal elements.

Indexed as

ACVR1BMP signalingfibrodysplasia ossificans progressivaheterotopic ossificationpseudoarthrosispseudojoint

Identifiers

PMID40757145
PMCPMC12315676

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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.