Cochrane · systematic review · CD007429
Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults
Tamaoki, MJS, Lenza, M, Matsunaga, FT, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 57.1%Low 3 · 42.9%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
Surgical intervention compared to conservative intervention for treating acromioclavicular dislocation of the shoulder in adults
Population: adults with acute acromioclavicular dislocation of the shouldera
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
DASH questionnaire (0 (best function) to 100 (worst function)) ‐ at 1 year Surgical intervention vs conservative intervention | no estimate extracted | 2 studies · 112 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Pain: presence of pain (slight or moderate) at 1 year Surgical intervention vs conservative intervention | RR 1.32 [0.54, 3.19] | 1 study · 79 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Treatment failure (usually requiring a subsequent operation) at 1 year Surgical intervention vs conservative intervention | RR 0.99 [0.51, 1.94] | 6 studies · 342 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Number of participants to return to work/sport ‐ at 1 year Surgical intervention vs conservative intervention | RR 0.96 [0.85, 1.1] | 2 studies · 137 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Health‐related quality of life: SF‐36 or SF‐12 (0 (worst quality of life) to 100 (best quality of life)) ‐ physical component score at 1 year Surgical intervention vs conservative intervention | no estimate extracted | 2 studies · 122 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Participants with adverse events at 1 year Surgical intervention vs conservative intervention | RR 2.82 [1.65, 4.82] | 6 studies · 342 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Patient dissatisfaction with the cosmetic result at 1 yearh Surgical intervention vs conservative intervention | RR 0.34 [0.07, 1.62] | 1 study · 70 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |