Evidence map›Paper›PMID 42328339›Full record

ArticleClinical case reports2026

When Chronic Pain Clouds Acute Diagnosis: Femoral Shaft Osteonecrosis With Superimposed

Ji-Hoon Lee, Elias Lai, Jerry Markar, Bi Mo

Abstract read
In one paragraph

Article in Clinical case reports, 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

4 authors.

Ji-Hoon LeeDavid Geffen School of Medicine at UCLA Los Angeles California USA.ORCID https://orcid.org/0000-0002-3542-3885
Elias LaiDavid Geffen School of Medicine at UCLA Los Angeles California USA.
Jerry MarkarDavid Geffen School of Medicine at UCLA Los Angeles California USA.
Bi MoDavid Geffen School of Medicine at UCLA Los Angeles California USA.ORCID https://orcid.org/0009-0009-6439-3687

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In medically complex patients with chronic pain, new or worsening symptoms should prompt careful reassessment. Avascular necrosis, particularly in the setting of prolonged steroid use, may be overlooked due to diagnostic overshadowing. Timely recognition requires multidisciplinary collaboration and vigilance to distinguish acute pathology from baseline chronic conditions.

Indexed as

avascular necrosischronic systemic steroidmyelodysplastic syndromeosteonecrosispseudomonas osteomyelitis

Identifiers

PMID42328339
PMCPMC13275539

What OpenQuestion holds

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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.