Findings

What do systematic reviews say?

6 questions · 6 findings · 4 reviews · Bone, Joint and Muscle Trauma · Headline outcomes only

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No studies found 1 · 16.7%GRADE not reported 0 · 0%Very low 1 · 16.7%Low 3 · 50%Moderate 1 · 16.7%High 0 · 0%

Surgical interventions (exploration and decompression / external neurolysis, internal neurolysis, neurorrhaphy / direct repair, neuroma excision, anastomosis, autologous or allograft nerve grafting or tubulization) vs conservative interventions

Treatment failure requiring re‐intervention · adults with acute acromioclavicular dislocation of the shouldera

It is very uncertain whether surgical intervention changes treatment failure (usually requiring a subsequent operation) at 1 year compared with conservative intervention (very low certainty).

1 finding from 1 review

Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults 2019 · Cochrane Headline outcomes only
RR 0.99 [0.51, 1.94]
6 studies · 342 participants
Very low

Surgical vs conservative interventions

Treatment failure (indication for non‐routine secondary surgery) · adults (aged ≥ 16 years) with acute middle third clavicle fractures

Surgical may leads to lower treatment failuref Indication for non‐routine secondary surgery compared with conservative interventions (low certainty).

1 finding from 1 review

Surgical versus conservative interventions for treating fractures of the middle third of the clavicle 2019 · Cochrane Headline outcomes only
RR 0.32 [0.2, 0.5]
12 studies · 1197 participants
Low

Intervention not reported

Treatment failure ‐ Number who had surgical procedure · patients with fractures of the middle third of the clavicle

The intervention showed no clear difference in treatment failure ‐ Number who had surgical procedure (moderate certainty).

1 finding from 1 review

Conservative interventions for treating middle third clavicle fractures in adolescents and adults 2016 · Cochrane Headline outcomes only
RR 1.13 [0.37, 3.47]
1 study · 101 participants
Moderate

Summary of findings: figure‐of‐eight bandage vs arm sling

Treatment failure (Number of participants who have undergone or are being considered for a surgical intervention) · patients (mainly young male adults) with fractures of the middle third of the clavicle

The review found no eligible studies for this question.

1 finding from 1 review

Conservative interventions for treating middle third clavicle fractures in adolescents and adults 2016 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Intervention not reported

Treatment failure (graft rupture or ACL reconstruction) at 2 years5 · Adults with acute anterior cruciate ligament (ACL) injuries (young, active individuals)

The intervention may leads to lower treatment failure (graft rupture or ACL reconstruction) at 2 years5 (low certainty).

1 finding from 1 review

Surgical versus conservative interventions for treating anterior cruciate ligament injuries 2016 · Cochrane Headline outcomes only
RR 0.12 [0.04, 0.34]
1 study · 121 participants
Low

Intervention not reported

Treatment failure (meniscal surgery) at 5 years5,7 · Adults with acute anterior cruciate ligament (ACL) injuries (young, active individuals)

The intervention showed no clear difference in treatment failure (meniscal surgery) at 5 years5,7 (low certainty).

1 finding from 1 review

Surgical versus conservative interventions for treating anterior cruciate ligament injuries 2016 · Cochrane Headline outcomes only
RR 0.88 [0.62, 1.25]
1 study · 120 participants
Low