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Search review questions

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.

Limit to evidence status or GRADE (optional)

775 questions in 58 reviews · Bone, Joint and Muscle Trauma

current versions
No 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.

QuestionEffectEvidenceStatus / 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 extracted1 study · 66 participantsVery 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 participantsVery 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 extracted2 studies · 215 participantsUngraded
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 extractedNRNo 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 participantsVery 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 extracted1 study · 85 participantsLow
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 participantsVery 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 extractedNRNo 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 extracted1 study · 123 participantsLow
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 participantsVery 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 participantsVery 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 extractedNRNo 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 extractedNRNo 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 participantsVery 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 extracted1 study · 233 participantsLow
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 extracted1 study · 87 participantsUngraded
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 participantsVery 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 extracted1 study · 288 participantsUngraded
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 extractedNRNo 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 extracted1 study · 233 participantsLow
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 extracted1 study · 80 participantsUngraded
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 participantsLow
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 extractedNRNo 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 extracted1 study · 50 participantsVery 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 extracted5 studies · 500 participantsUngraded
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 extracted2 studies · 178 participantsUngraded
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 participantsVery 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 participantsVery 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 participantsLow
Intervention NR
Pain (preferably during the procedure) · Children with pulled elbow1
Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane
no estimate extractedNRVery 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 extractedNRNo 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 participantsVery low
Intervention NR
Ultimate failure · Children with pulled elbow1
Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Recurrence (within one month) · Children with pulled elbow1
Manipulative interventions for reducing pulled elbow in young children (2017) · Cochrane
no estimate extractedNRNo 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 extracted5 studies · 350 participantsLow
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 extracted6 studies · 382 participantsLow
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 1.781 study · 82 participantsVery 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 extracted4 studies · 219 participantsVery 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 extractedNRNo 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 extractedNRNo 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 participantsVery 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 extracted21 studies · 525 participantsLow
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 extracted41 studies · 936 participantsModerate
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 extracted45 studies · 1047 participantsLow
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 extracted28 studies · 657 participantsModerate
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 extracted17 studies · 436 participantsLow
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 extractedNRNo 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 extracted9 studies · 216 participantsVery 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 participantsVery 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 extracted1 study · 77 participantsLow