Evidence map›Paper›PMID 42005120›Full record

ArticleCureus2026

Pathological Subtrochanteric Femoral Fracture as the Initial Presentation of Metastatic Thyroid Carcinoma in a Young Adult: A Diagnostic Challenge.

Abhishek K Singh, Tobi Oputa, Muhammad Z Tariq

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. 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

3 authors.

Abhishek K SinghTrauma and Orthopaedics, The Royal Oldham Hospital, Manchester, GBR.
Tobi OputaTrauma and Orthopaedics, The Royal Oldham Hospital, Manchester, GBR.
Muhammad Z TariqTrauma and Orthopaedics, The Royal Oldham Hospital, Manchester, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pathological fractures should be suspected in young adults presenting with low-energy femoral fractures. We report a 39-year-old woman who sustained a subtrochanteric fracture after trivial trauma while exiting a car. Imaging demonstrated multiple lytic lesions involving the femur and pelvis, with pulmonary nodules suspicious for metastases. Laboratory evaluation showed biochemical hyperthyroidism. Intramedullary fixation was performed after discussion with the Oncology Multidisciplinary Team (MDT), and histopathology of femoral reamings confirmed metastatic thyroid carcinoma, likely follicular type. Thyroid ultrasound showed no suspicious nodules, highlighting discordance between imaging and histology. This case emphasises the importance of considering pathological fracture in atypical presentations, performing oncologic evaluation before definitive fixation, and relying on tissue diagnosis when imaging is inconclusive.

Indexed as

cephalomedullary naillow-energy fracturemetastatic bone disease(mbd)metastatic cancer of unknown primarymetastatic follicular thyroid carcinomametastatic thyroid cancerorthopaedic oncologypathological fracturesubtrochanteric femur fracture

Identifiers

PMID42005120
PMCPMC13088670

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.