Cochrane · systematic review · CD007121
Conservative interventions for treating middle third clavicle fractures in adolescents and adults
Lenza, M, Faloppa, F · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 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
14
current version
GRADE rated
9
No studies
5
Included studies
NR
No studies 5 · 35.7%Ungraded 0 · 0%Very low 4 · 28.6%Low 0 · 0%Moderate 5 · 35.7%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
Summary of findings: figure‐of‐eight bandage versus arm sling
Population: patients (mainly young male adults) with fractures of the middle third of the clavicle
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Shoulder function Constant score (0 to 100 points: higher = better) Summary of findings: figure‐of‐eight bandage vs arm sling | no estimate extracted | 1 study · 51 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Pain (early) Visual Analogue Scale ‐ VAS (0 (no pain) to 10 (worst pain)) Summary of findings: figure‐of‐eight bandage vs arm sling | MD 0.43 | 2 studies · 203 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Treatment failure (Number of participants who have undergone or are being considered for a surgical intervention) Summary of findings: figure‐of‐eight bandage vs arm sling | no estimate extracted | NR | No studies |
Clinical healing ‐ time to clinical fracture consolidation (weeks) Summary of findings: figure‐of‐eight bandage vs arm sling | MD 0.2 | 1 study · 148 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events ‐ total participants with adverse events Summary of findings: figure‐of‐eight bandage vs arm sling | no estimate extracted | NR | No studies |
Quality of life Summary of findings: figure‐of‐eight bandage vs arm sling | no estimate extracted | NR | No studies |
Return to previous activities ‐ Resumption of school/work (weeks) Summary of findings: figure‐of‐eight bandage vs arm sling | no estimate extracted | 2 studies · 176 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Summary of findings: low‐intensity pulsed ultrasound
Population: patients with fractures of the middle third of the clavicle
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Shoulder function | no estimate extracted | NR | No studies |
Pain Visual analogue scale ‐ VAS (0 (no pain) to 10 (worst pain)) | no estimate extracted | 1 study · 101 participants | Moderate Downgraded: imprecision |
Treatment failure ‐ Number who had surgical procedure | RR 1.13 [0.37, 3.47] | 1 study · 101 participants | Moderate Downgraded: imprecision |
Clinical healing ‐ Time to clinical fracture consolidation (days) | no estimate extracted | 1 study · 101 participants | Moderate Downgraded: imprecision |
Adverse events ‐ total of adverse events (Skin irritation) | RR 0.94 [0.06, 14.65] | 1 study · 101 participants | Moderate Downgraded: imprecision |
Quality of life | no estimate extracted | NR | No studies |
Return to previous activities ‐ Resumption of work (days) | MD 1.95 | 1 study · 101 participants | Moderate Downgraded: imprecision |