Evidence map›Paper›PMID 40792314›Full record

ArticleCureus2025

Knee Pain: The Fine Line Between Malignant and Benign.

Andrew Lew, Suleman Janjua, Tariq M Awan, Nicholas Moore, Gregory M Cibor, Paolo Balmaseda, David M Peck, Michael P Montico

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Andrew LewFamily Medicine, University of Nevada, Reno, Reno, USA.
Suleman JanjuaSports Medicine, Ascension Providence Hospital, Southfield, USA.
Tariq M AwanSports Medicine, Ascension Providence Hospital, Southfield, USA.
Nicholas MooreSports Medicine, Ascension Providence Hospital, Southfield, USA.
Gregory M CiborSports Medicine, Ascension Providence Hospital, Southfield, USA.
Paolo BalmasedaSports Medicine, Ascension Providence Hospital, Southfield, USA.
David M PeckSports Medicine, Ascension Providence Hospital, Southfield, USA.
Michael P MonticoSports Medicine, Ascension Providence Hospital, Southfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Focal periphyseal edema (FOPE) is a normal physiological finding that is often incidentally discovered on MRI of the knee. FOPE zones are areas of periphyseal edema typically observed near the time of physeal closure. This common physiologic phenomenon is related to changes in the distribution of forces around the physis as it closes during adolescence, occurring more frequently in females between 11 and 14 years of age. The condition may be associated with pain or may be asymptomatic. It is often mistaken for pathological bone marrow edema or a Salter-Harris fracture. We present the case of a 14-year-old female patient with chronic knee pain and no history of trauma. MRI revealed two FOPE zones in the distal femur, with no other abnormalities. The patient was managed conservatively with observation and physical therapy, resulting in gradual symptom resolution. This case reinforces that FOPE should be recognized as a normal variant in adolescent knees to avoid misdiagnosis and unnecessary treatment.

Indexed as

benignchronic painedemafocal periphyseal edemafopekneeknee painsalter-harris fracture

Identifiers

PMID40792314
PMCPMC12339012

What OpenQuestion holds

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LicenceCC BY
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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.