Evidence map›Paper›PMID 41055846›Full record

ReviewCurrent osteoporosis reports2025

Epidemiology, Pathophysiology and Management of Atypical Femur Fractures: an Update.

Lucy Collins, Hanh H Nguyen, Frances Milat, Peter R Ebeling

Abstract readReview
In one paragraph

Review in Current osteoporosis reports, 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. Phase 3 study comparing the efficacy and safety of proposed biosimilar RGB-14-P with denosumab in postmenopausal women with osteoporosis: results from the transition (switch) phase.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Trial
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.

Lucy CollinsDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, VIC, Australia.
Hanh H NguyenDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, VIC, Australia.
Frances MilatDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, VIC, Australia.
Peter R EbelingDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, VIC, Australia. peter.ebeling@monash.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo summarise recent publications addressing the epidemiology, pathogenesis and management of atypical femur fractures (AFFs). RECENT

findingsAFFs have been reported in anti-resorptive treated individuals, bisphosphonate-naïve individuals and individuals with monogenic bone diseases. The likelihood of developing an AFF increases with prolonged exposure to anti-resorptive treatment. AFF risk declines following anti-resorptive discontinuation. Asian ethnicity has emerged as an important risk factor for AFF. Although excluded from the current ASBMR AFF case definition, periprosthetic AFFs and atypical fractures at non-classical sites have been increasingly reported. Following an AFF, anti-resorptive therapy should be discontinued, surgical treatment with intramedullary nailing considered, the contralateral femur imaged, and the underlying osteoporosis addressed. Emerging evidence suggests teriparatide may aid healing in surgically managed AFFs but not in conservatively managed incomplete AFFs. AFFs remain a rare side effect of anti-resorptive treatment. Emerging areas of interest and further research include genetic and ethnic risk factors and advancements in diagnostic technologies for AFFs.

Indexed as

Femoral FracturesAsianBone Density Conservation AgentsDiphosphonatesFemaleFracture Fixation, IntramedullaryHumansMaleOsteoporosisRisk FactorsTeriparatideBone Density Conservation AgentsDiphosphonatesTeriparatideAnti-resorptivesAsian ethnicityAtypical femur fractureBisphosphonatesOsteoporosisScreening

Identifiers

PMID41055846
PMCPMC12504398

What OpenQuestion holds

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Registered trials

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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.