Evidence map›Paper›PMID 42517895›Full record

ReviewUnfallchirurgie (Heidelberg, Germany)2026

[Pathological fractures in childhood].

Alexander S Spiro, Alexandra Doerell, Dirk W Sommerfeldt, Matthias Priemel, Kiril Mladenov, Anne Andresen

Abstract readReviewEnglish Abstract
PubMed Publisher
In one paragraph

Review in Unfallchirurgie (Heidelberg, Germany), 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

6 authors.

Alexander S SpiroAbteilung für Kinderorthopädie, Altonaer Kinderkrankenhaus, Bleickenallee 37, 22763, Hamburg, Deutschland. aspiro@uke.de.
Alexandra DoerellAbteilung für Kinderorthopädie, Altonaer Kinderkrankenhaus, Bleickenallee 37, 22763, Hamburg, Deutschland.
Dirk W SommerfeldtAbteilung für Kinderunfallchirurgie, Altonaer Kinderkrankenhaus, Hamburg, Deutschland.
Matthias PriemelKlinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum, Hamburg-Eppendorf, Hamburg, Deutschland.
Kiril MladenovAbteilung für Kinderorthopädie, Altonaer Kinderkrankenhaus, Bleickenallee 37, 22763, Hamburg, Deutschland.
Anne AndresenAbteilung für Kinderorthopädie, Altonaer Kinderkrankenhaus, Bleickenallee 37, 22763, Hamburg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pathological fractures in children are most commonly caused by benign bone tumors, while malignant tumors rarely occur; however, the consequences of a missed pathological fracture due to malignancy or inadequate treatment of these fractures are severe. Localization, grade of Lodwick classification, tumor matrix and periosteal reaction of the bone tumor should be assessed on plain X‑radiographs. Conservative treatment is indicated in nondislocated fractures where there is a suspicion of benign or intermediate bone tumors. In dislocated pathological fractures and the suspicion of a benign or intermediate lesion, magnetic resonance imaging (MRI) is recommended because it can substantially influence the choice of surgical treatment. A biopsy should also be taken during surgery. In the case of pathological fractures caused by potentially malignant bone tumors patients should immediately be immobilized and transferred to a musculoskeletal tumor center for extended diagnostics and treatment.

Indexed as

Bone NeoplasmsFractures, SpontaneousChildChild, PreschoolDiagnosis, DifferentialFemaleHumansImmobilizationMagnetic Resonance ImagingMaleBone neoplasmsConservative treatmentDiagnostic imagingFracture dislocationMalignancy

Identifiers

What OpenQuestion holds

Textmetadata
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.