Evidence map›Paper›PMID 33620512›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

A high rate of children and adolescents return to sport after surgical treatment of osteochondritis dissecans of the elbow: a systematic review and meta-analysis.

Dan Cohen, Jeffrey Kay, Muzammil Memon, David Slawaska-Eng, Nicole Simunovic, Olufemi R Ayeni

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Magnetic Resonance Imaging Patterns of Common Injuries in Pediatric and Adolescent Athletes.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. [Treatment of osteochondritis dissecans].Orthopadie (Heidelberg, Germany) · 2024
    Article
  9. Common Upper Extremity Injuries in Pediatric Athletes.Current reviews in musculoskeletal medicine · 2022
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dan CohenDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada.
Jeffrey KayDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada.
Muzammil MemonDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada.
David Slawaska-EngDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada.
Nicole SimunovicDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada.
Olufemi R AyeniDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada. ayenif@mcmaster.ca.ORCID http://orcid.org/0000-0003-4219-8564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this systematic review was to determine the return to sport rates following surgical management of ostechondritis dissecans of the elbow.

methodsThe databases EMBASE, PubMed, and MEDLINE were searched for relevant literature from database inception until August 2020 and studies were screened by two reviewers independently and in duplicate for studies reporting rates of return to sport following surgical management of posterior shoulder instability. A meta-analysis of proportions was used to combine the rates of return to sport using a random effects model. A risk of bias assessment was performed for all included studies using the MINORS score.

resultsOverall, 31 studies met inclusion criteria and comprised of 548 patients (553 elbows) with a median age of 14 (range 10-18.5) and a median follow-up of 39 months (range 5-156). Of the 31 studies included, 14 studies (267 patients) had patients who underwent open stabilization, 11 studies (152 patients) had patients who underwent arthroscopic stabilization, and 6 studies (129 patients) had patients who underwent arthroscopic-assisted stabilization. The pooled rate of return to any level of sport was 97.6% (95% CI 94.8-99.5%, I

conclusionSurgical management of osteochondritis dissecans of the elbow resulted in a high rate of return to sport, including in competitive and overhead athletes. Similar rates of return to sport were noted across both open and arthroscopic procedures. LEVEL OF EVIDENCE: Level IV.

Indexed as

Joint InstabilityOsteochondritis DissecansShoulder JointAdolescentArthroscopyChildElbowHumansInfantReturn to SportAdolescentElbowOsteochondritis dissecansPediatricSport

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.