Cochrane · systematic review · CD009949
Aspiration of the elbow joint for treating radial head fractures
Foocharoen, T, Foocharoen, C, Laopaiboon, M, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
8
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 25%Very low 6 · 75%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
Comparison
Population: patients being treated for radial head fractures; subsequent management was non‐surgical
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Impaired function Unable to carry heavy weights or > 10° loss in extension (discomfort when carrying objects) At 12 months | RR 1.43 [0.57, 3.58] | 2 studies · 108 participants | Very low Downgraded: risk of bias, imprecision |
No or only mild elbow pain Immediate (post aspiration or at an equivalent time) | RR 6.17 [1.97, 19.36] | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
No or only mild elbow pain At 3 weeks | RR 1.47 [1.02, 2.12] | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
No or only mild elbow pain At 6 weeks | RR 1.14 [0.9, 1.44] | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Adverse effects of procedure or Aspiration failure | no estimate extracted | 2 studies · 108 participants | Ungraded |
'Full' range of motion At 6 weeks | RR 2.31 [0.9, 5.92] | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
'Full' range of motion At 12 months | RR 0.92 [0.78, 1.08] | 2 studies · 108 participants | Very low Downgraded: risk of bias, imprecision |
Adverse effects (of fracture and management) At 12 months | no estimate extracted | 1 study · 80 participants | Ungraded |