Cochrane · systematic review · CD006839
Treatment for ulnar neuropathy at the elbow
Caliandro, P, La Torre, G, Padua, R, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
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
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 4 · 100%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
Current version onlySimple decompression versus transposition for ulnar neuropathy at the elbow
Population: people with ulnar neuropathy at the elbow
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion of participants with clinical improvement in function compared to baseline Simple decompression vs transposition | RR 0.93 [0.8, 1.08] | 3 studies · 261 participants | Moderate Downgraded: risk of bias, imprecision |
Subgroup: proportion of participants with clinical improvement in function compared to baseline ‐ simple decompression versus subcutaneous transposition Simple decompression vs transposition | RR 0.92 [0.74, 1.14] | 1 study · 147 participants | Moderate Downgraded: risk of bias |
Subgroup: proportion of participants with clinical improvement in function compared to baseline ‐ simple decompression versus submuscular transposition Simple decompression vs transposition | RR 0.95 [0.77, 1.17] | 2 studies · 114 participants | Moderate Downgraded: risk of bias, imprecision |
Adverse events: proportion of participants with deep/superficial wound infections Simple decompression vs transposition | RR 0.32 [0.12, 0.85] | 3 studies · 261 participants | Moderate Downgraded: risk of bias, imprecision |
Clinical effect of simple decompression versus transposition
Population: patients with ulnar neuropathy at the elbow
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion of patients with clinical improvement in function compared to baseline Clinical effect of simple decompression vs transposition | RR 0.93 [0.8, 1.08] | 3 studies · 261 participants | Moderate Downgraded: risk of bias, imprecision |
Proportion of patients with clinical improvement in function compared to baseline ‐ simple decompression versus subcutaneous transposition Clinical effect of simple decompression vs transposition | RR 0.92 [0.74, 1.14] | 1 study · 147 participants | Moderate Downgraded: risk of bias |
Proportion of patients with clinical improvement in function compared to baseline ‐ simple decompression versus submuscular transposition Clinical effect of simple decompression vs transposition | RR 0.95 [0.77, 1.17] | 2 studies · 114 participants | Moderate Downgraded: risk of bias, imprecision |
Proportion of patients with deep/superficial wound infections Clinical effect of simple decompression vs transposition | RR 0.32 [0.12, 0.85] | 3 studies · 261 participants | Moderate Downgraded: risk of bias, imprecision |
Neurophysiological effect of simple decompression versus transposition (subcutaneous and submuscular)
Population: patients with ulnar neuropathy at the elbow
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Post‐operative motor nerve conduction velocity Neurophysiological effect of simple decompression vs transposition (subcutaneous and submuscular) | no estimate extracted | 2 studies · 101 participants | Moderate Downgraded: risk of bias, imprecision |
Clinical effect of simple decompression versus transposition
Population: patients with ulnar neuropathy at the elbow
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion of patients with clinical improvement in function compared to baseline Clinical effect of simple decompression vs transposition | RR 0.93 [0.8, 1.08] | 3 studies · 261 participants | Moderate Downgraded: risk of bias, imprecision |
Proportion of patients with clinical improvement in function compared to baseline ‐ simple decompression versus subcutaneous transposition Clinical effect of simple decompression vs transposition | RR 0.92 [0.74, 1.14] | 1 study · 147 participants | Moderate Downgraded: risk of bias |
Proportion of patients with clinical improvement in function compared to baseline ‐ simple decompression versus submuscular transposition Clinical effect of simple decompression vs transposition | RR 0.95 [0.77, 1.17] | 2 studies · 114 participants | Moderate Downgraded: risk of bias, imprecision |
Proportion of patients with deep/superficial wound infections Clinical effect of simple decompression vs transposition | RR 0.32 [0.12, 0.85] | 3 studies · 261 participants | Moderate Downgraded: risk of bias, imprecision |
Neurophysiological effect of simple decompression versus transposition (subcutaneous and submuscular)
Population: patients with ulnar neuropathy at the elbow
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Post‐operative motor nerve conduction velocity Neurophysiological effect of simple decompression vs transposition (subcutaneous and submuscular) | no estimate extracted | 2 studies · 101 participants | Moderate Downgraded: risk of bias, imprecision |