Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015:2015:204842.
doi: 10.1155/2015/204842. Epub 2015 Mar 22.

Improved fracture healing in patients with concomitant traumatic brain injury: proven or not?

Affiliations
Review

Improved fracture healing in patients with concomitant traumatic brain injury: proven or not?

Martijn Hofman et al. Mediators Inflamm. 2015.

Abstract

Over the last 3 decades, scientific evidence advocates an association between traumatic brain injury (TBI) and accelerated fracture healing. Multiple clinical and preclinical studies have shown an enhanced callus formation and an increased callus volume in patients, respectively, rats with concomitant TBI. Over time, different substances (cytokines, hormones, etc.) were in focus to elucidate the relationship between TBI and fracture healing. Until now, the mechanism behind this relationship is not fully clarified and a consensus on which substance plays the key role could not be attained in the literature. In this review, we will give an overview of current concepts and opinions on this topic published in the last decade and both clinical and pathophysiological theories will be discussed.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Indirect fracture healing.

References

    1. Morley J., Marsh S., Drakoulakis E., Pape H.-C., Giannoudis P. V. Does traumatic brain injury result in accelerated fracture healing? Injury. 2005;36(3):363–368. doi: 10.1016/j.injury.2004.08.028. - DOI - PubMed
    1. Kon T., Cho T.-J., Aizawa T., et al. Expression of osteoprotegerin, receptor activator of NF-κB ligand (osteoprotegerin ligand) and related proinflammatory cytokines during fracture healing. Journal of Bone and Mineral Research. 2001;16(6):1004–1014. doi: 10.1359/jbmr.2001.16.6.1004. - DOI - PubMed
    1. Gerstenfeld L. C., Cullinane D. M., Barnes G. L., Graves D. T., Einhorn T. A. Fracture healing as a post-natal developmental process: molecular, spatial, and temporal aspects of its regulation. Journal of Cellular Biochemistry. 2003;88(5):873–884. doi: 10.1002/jcb.10435. - DOI - PubMed
    1. Lee S.-K., Lorenzo J. Cytokines regulating osteoclast formation and function. Current Opinion in Rheumatology. 2006;18(4):411–418. doi: 10.1889/1.2196518. - DOI - PubMed
    1. Sfeir C., Ho L., Doll B. A., Azari K., Hollinger J. O. Fracture repair. In: Lieberman J. R., Friedlaender G. E., editors. Bone Regeneration and Repair. Totowa, NJ, USA: Humana Press; 2005. pp. 21–44.

MeSH terms

LinkOut - more resources