Cochrane · systematic review · CD007759
Manipulative interventions for reducing pulled elbow in young children
Krul, M, van der Wouden, JC, Kruithof, EJ, et al. · Cochrane Database of Systematic Reviews · 2017 · 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
6
current version
GRADE rated
3
No studies
3
Included studies
NR
No studies 3 · 50%Ungraded 0 · 0%Very low 2 · 33.3%Low 1 · 16.7%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
Comparison
Population: Children with pulled elbow1
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Failure: second attempt required | RR 0.35 [0.25, 0.5] | 8 studies · 811 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Pain (preferably during the procedure) | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse effects (e.g. bruising) | no estimate extracted | NR | No studies |
Failure: continued failure after second attempt using same procedure as before | RR 0.16 [0.09, 0.32] | 6 studies · 624 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Ultimate failure | no estimate extracted | NR | No studies |
Recurrence (within one month) | no estimate extracted | NR | No studies |