Cochrane · systematic review · CD004962

Conservative management following closed reduction of traumatic anterior dislocation of the shoulder

Braun, C, McRobert, CJ · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Bone, Joint and Muscle Trauma2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 5 · 71.4%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

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.

Questions and results

Show all 2 versions

Immobilisation in external rotation versus immobilisation in internal rotation following closed reduction of traumatic anterior dislocation of the shoulder

Population: patients undergoing conservative management after closed reduction of traumatic anterior dislocation of the shoulder
7 questions
OutcomeEffectEvidenceStatus / GRADE
Re‐dislocation
Immobilisation in external rotation vs immobilisation
RR 0.67 [0.38, 1.19]6 studies · 488 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Validated patient‐reported outcome measures for shoulder disabilityf
Immobilisation in external rotation vs immobilisation
no estimate extracted4 studies · 380 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Resumption of pre‐injury activities
Immobilisation in external rotation vs immobilisation
no estimate extracted3 studies · 347 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Participant satisfaction with the intervention
Immobilisation in external rotation vs immobilisation
no estimate extractedNRNo studies
Quality of life
Immobilisation in external rotation vs immobilisation
no estimate extractedNRNo studies
Any instability: re‐dislocation or subluxation, composite outcome
Immobilisation in external rotation vs immobilisation
RR 0.84 [0.62, 1.14]3 studies · 395 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Adverse events
Immobilisation in external rotation vs immobilisation
no estimate extracted7 studies · 645 participantsVery low
Downgraded: risk of bias, imprecision, indirectness