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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.
775 questions in 58 reviews · Bone, Joint and Muscle Trauma
current versionsNo studies 166 · 21.4%Ungraded 24 · 3.1%Very low 356 · 45.9%Low 162 · 20.9%Moderate 47 · 6.1%High 20 · 2.6%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Summary of findings. Below‐elbow vs above‐elbow cast Physical function (medium‐term; 3 to 12 months): measured using the ABILHAND‐Kids score (0 to 42: no problems) (6 months · children with either displaced distal radius fracture with intact or displaced ulna fracture (both‐bone fracture), or… Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 66 participants | Very low |
Summary of findings. Below‐elbow vs above‐elbow cast 'Treatment failure': secondary procedures such as remanipulation for early loss of position (only data for this used here); and change in treatment ( · children with either displaced distal radius fracture with intact or displaced ulna fracture (both‐bone fracture), or… Interventions for treating wrist fractures in children (2018) · Cochrane | RR 0.27 [0.07, 1.06] | 4 studies · 366 participants | Very low |
Summary of findings. Below‐elbow vs above‐elbow cast Serious adverse events ( · children with either displaced distal radius fracture with intact or displaced ulna fracture (both‐bone fracture), or… Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 2 studies · 215 participants | Ungraded |
Summary of findings. Below‐elbow vs above‐elbow cast Time to return to former activities · children with either displaced distal radius fracture with intact or displaced ulna fracture (both‐bone fracture), or… Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings. Removable splintage vs cast Treatment failure (4 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa Interventions for treating wrist fractures in children (2018) · Cochrane | RR 0.71 [0.26, 1.89] | 4 studies · 444 participants | Very low |
Summary of findings. Below‐elbow vs above‐elbow cast Pain after 1 week in cast: VAS (0 to 10: worst pain) ( · children with either displaced distal radius fracture with intact or displaced ulna fracture (both‐bone fracture), or… Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 85 participants | Low |
Summary of findings. Below‐elbow vs above‐elbow cast Minor complications.,j,k Here represented by Referral for physical therapy for range of motion limitation (post‐immobilisation after 4 weeks) · children with either displaced distal radius fracture with intact or displaced ulna fracture (both‐bone fracture), or… Interventions for treating wrist fractures in children (2018) · Cochrane | RR 0.73 [0.19, 2.84] | 2 studies · 179 participants | Very low |
Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only) Physical function (short‐term; under 3 months) · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture) Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only) Physical function (medium‐term; 3 to 12 months) measured using the ABILHAND‐Kids score (0 to 42: no problems) (6 months · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture) Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 123 participants | Low |
Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only) 'Treatment failure': various secondary procedures such as remanipulation for early loss of position; early or more complex wire removal ( · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture) Interventions for treating wrist fractures in children (2018) · Cochrane | RR 0.52 [0.33, 0.83] | 4 studies · 253 participants | Very low |
Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only) Serious adverse events (typically more serious complications) ( · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture) Interventions for treating wrist fractures in children (2018) · Cochrane | RR 0.68 [0.45, 1.02] | 4 studies · 253 participants | Very low |
Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only) Time to return to former activities · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture) Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only) Wrist pain · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture) Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only) Minor complications (less serious).j Here represented by referral for physical therapy for range of motion limitation (post‐immobilisation after 4 weeks) · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture) Interventions for treating wrist fractures in children (2018) · Cochrane | RR 0.65 [0.44, 0.97] | 1 study · 128 participants | Very low |
Summary of findings. Home vs hospital‐clinic removal of casts Physical function (short‐term) measured using the Childhood Health Assessment Questionnaire (CHAQ) Index change scores from pre‐injury at 4 weeks ‐ VAS (probably 0 to 100; worst) · children with stable wrist fracture, predominantly buckle (torus) fractures Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 233 participants | Low |
Summary of findings. Removable splintage vs cast Serious adverse events (6 months · children with stable wrist fracture, predominantly buckle (torus) fracturesa Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 87 participants | Ungraded |
Summary of findings. Home vs hospital‐clinic removal of casts Treatment failure (change in treatment) (6 weeks · children with stable wrist fracture, predominantly buckle (torus) fractures Interventions for treating wrist fractures in children (2018) · Cochrane | RR 3.16 [0.5, 19.93] | 2 studies · 397 participants | Very low |
Summary of findings. Home vs hospital‐clinic removal of casts Serious adverse events (6 months · children with stable wrist fracture, predominantly buckle (torus) fractures Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 288 participants | Ungraded |
Summary of findings. Home vs hospital‐clinic removal of casts Time to return to former activities · children with stable wrist fracture, predominantly buckle (torus) fractures Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings. Home vs hospital‐clinic removal of casts Pain (CHAQ) via VAS (0 to 100; worst pain) at 4 weeks · children with stable wrist fracture, predominantly buckle (torus) fractures Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 233 participants | Low |
Summary of findings. Home vs hospital‐clinic removal of casts Minor complications (4 to 6 weeks · children with stable wrist fracture, predominantly buckle (torus) fractures Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 80 participants | Ungraded |
Summary of findings. Home vs hospital‐clinic removal of casts Participant satisfaction: Parents would not choose the same treatment again (6 weeks · children with stable wrist fracture, predominantly buckle (torus) fractures Interventions for treating wrist fractures in children (2018) · Cochrane | RR 0.16 [0.06, 0.43] | 1 study · 80 participants | Low |
Summary of findings. Removable splintage vs cast Time to return to former activities · children with stable wrist fracture, predominantly buckle (torus) fracturesa Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings. Removable splintage vs cast Pain VAS (0 to 10; worst pain) during device use (4 ‐ 6 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 1 study · 50 participants | Very low |
Summary of findings. Removable splintage vs cast Minor complications (3 to 6 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 5 studies · 500 participants | Ungraded |
Summary of findings. Removable splintage vs cast Participant satisfaction: child and/or parent preference for same device in future (3 to 6 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa Interventions for treating wrist fractures in children (2018) · Cochrane | no estimate extracted | 2 studies · 178 participants | Ungraded |
Summary of findings. Bandage vs cast Physical function (short‐term): no problems or only 'limited disability' (see Comments) (4 to 6 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa Interventions for treating wrist fractures in children (2018) · Cochrane | RR 1.79 [1.18, 2.73] | 1 study · 53 participants | Very low |
Summary of findings. Bandage vs cast Treatment failure: (3 to 6 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa Interventions for treating wrist fractures in children (2018) · Cochrane | RR 1.53 [0.44, 5.32] | 3 studies · 181 participants | Very low |
Intervention NR Failure: second attempt required · Children with pulled elbow1 Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane | RR 0.35 [0.25, 0.5] | 8 studies · 811 participants | Low |
Intervention NR Pain (preferably during the procedure) · Children with pulled elbow1 Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane | no estimate extracted | NR | Very low |
Intervention NR Adverse effects (e.g. bruising) · Children with pulled elbow1 Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Failure: continued failure after second attempt using same procedure as before · Children with pulled elbow1 Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane | RR 0.16 [0.09, 0.32] | 6 studies · 624 participants | Very low |
Intervention NR Ultimate failure · Children with pulled elbow1 Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Recurrence (within one month) · Children with pulled elbow1 Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane | no estimate extracted | NR | No studies |
Local steroid injection vs placebo or no treatment control Heel pain: VAS 0 to 100 (higher scores = worse pain) ‐ short‐term · Adults with plantar heel pain¹ Injected corticosteroids for treating plantar heel pain in adults (2017) · Cochrane | no estimate extracted | 5 studies · 350 participants | Low |
Local steroid injection vs placebo or no treatment control Heel pain: VAS 0 to 100 (higher scores = worse pain) ‐ medium‐term · Adults with plantar heel pain¹ Injected corticosteroids for treating plantar heel pain in adults (2017) · Cochrane | no estimate extracted | 6 studies · 382 participants | Low |
Local steroid injection vs placebo or no treatment control Function: medium‐term FFI (0 to 100: higher scores = worse function) FHSQ (0 to 100: higher scores = better function · Adults with plantar heel pain¹ Injected corticosteroids for treating plantar heel pain in adults (2017) · Cochrane | MD 1.78 | 1 study · 82 participants | Very low |
Local steroid injection vs placebo or no treatment control Serious adverse events · Adults with plantar heel pain¹ Injected corticosteroids for treating plantar heel pain in adults (2017) · Cochrane | no estimate extracted | 4 studies · 219 participants | Very low |
Local steroid injection vs placebo or no treatment control Return to previous level of activity or work · Adults with plantar heel pain¹ Injected corticosteroids for treating plantar heel pain in adults (2017) · Cochrane | no estimate extracted | NR | No studies |
Local steroid injection vs placebo or no treatment control Other adverse events Short‐term · Adults with plantar heel pain¹ Injected corticosteroids for treating plantar heel pain in adults (2017) · Cochrane | no estimate extracted | NR | No studies |
Local steroid injection vs placebo or no treatment control Treatment failure (Heel pain persists at 8 weeks; subsequent treatment at 12 weeks; no pain relief at 6 months) · Adults with plantar heel pain¹ Injected corticosteroids for treating plantar heel pain in adults (2017) · Cochrane | RR 0.35 [0.26, 0.48] | 3 studies · 363 participants | Very low |
Summary of findings: antioxidants vs placebo Muscle soreness · mainly physically active individuals1 partaking in exercise2 designed to produce delayed onset muscle soreness Antioxidants for preventing and reducing muscle soreness after exercise (2017) · Cochrane | no estimate extracted | 21 studies · 525 participants | Low |
Summary of findings: antioxidants vs placebo Muscle soreness · mainly physically active individuals1 partaking in exercise2 designed to produce delayed onset muscle soreness Antioxidants for preventing and reducing muscle soreness after exercise (2017) · Cochrane | no estimate extracted | 41 studies · 936 participants | Moderate |
Summary of findings: antioxidants vs placebo Muscle soreness · mainly physically active individuals1 partaking in exercise2 designed to produce delayed onset muscle soreness Antioxidants for preventing and reducing muscle soreness after exercise (2017) · Cochrane | no estimate extracted | 45 studies · 1047 participants | Low |
Summary of findings: antioxidants vs placebo Muscle soreness · mainly physically active individuals1 partaking in exercise2 designed to produce delayed onset muscle soreness Antioxidants for preventing and reducing muscle soreness after exercise (2017) · Cochrane | no estimate extracted | 28 studies · 657 participants | Moderate |
Summary of findings: antioxidants vs placebo Muscle soreness · mainly physically active individuals1 partaking in exercise2 designed to produce delayed onset muscle soreness Antioxidants for preventing and reducing muscle soreness after exercise (2017) · Cochrane | no estimate extracted | 17 studies · 436 participants | Low |
Summary of findings: antioxidants vs placebo Subjective recovery · mainly physically active individuals1 partaking in exercise2 designed to produce delayed onset muscle soreness Antioxidants for preventing and reducing muscle soreness after exercise (2017) · Cochrane | no estimate extracted | NR | No studies |
Summary of findings: antioxidants vs placebo Adverse events · mainly physically active individuals1 partaking in exercise2 designed to produce delayed onset muscle soreness Antioxidants for preventing and reducing muscle soreness after exercise (2017) · Cochrane | no estimate extracted | 9 studies · 216 participants | Very low |
Bone marrow vs steroid injections Success rate (radiographically‐assessed healing of cyst healing based on the Neer/Cole rating system) · children with simple bone cysts Interventions for treating simple bone cysts in the long bones of children (2017) · Cochrane | RR 0.55 [0.28, 1.09] | 1 study · 77 participants | Very low |
Bone marrow vs steroid injections Function: ASK function score Clinical record Scale from: 0 to 100 (best outcome) · children with simple bone cysts Interventions for treating simple bone cysts in the long bones of children (2017) · Cochrane | no estimate extracted | 1 study · 77 participants | Low |