Evidence map›Paper›PMID 38590464›Full record

ReviewCureus2024

Comparison of Short-Arm Immobilization and Long-Arm Immobilization in Conservatively Managed Distal Radius Fractures: A Meta-Analysis and Systematic Review.

Yash P Chaudhry, Genoveffa R Morway, Efstratios A Papadelis, Nikki A Doerr, Kenneth W Graf, Rakesh P Mashru, Henry J Dolch

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07704879 (Below-Elbow Versus Initial Above-Elbow Casting After Closed Reduction of Distal Radius Fractures), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 95% of its field
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.

NCT07704879 nacompletednot on this map

Below-Elbow Versus Initial Above-Elbow Casting After Closed Reduction of Distal Radius Fractures: 12-Week Isokinetic and 5-Year Functional Outcomes of a Prospective Randomized Trial

TypeinterventionalSponsorIstanbul UniversityRan2020 to 2026Enrolled93ConditionsDistal Radius FractureArmsBelow-Elbow Cast Immobilization, Initial Above-Elbow Cast Followed by Below-Elbow Cast
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 0 citations in OpenAlex.

  1. Trial
  2. 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

7 authors at 1 institution in 1 country.

Yash P ChaudhryOrthopedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Genoveffa R MorwayOrthopedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Efstratios A PapadelisOrthopedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Nikki A DoerrOrthopedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Kenneth W GrafOrthopedics and Traumatology, Cooper University Hospital, Camden, USA.
Rakesh P MashruOrthopedics and Traumatology, Cooper University Hospital, Camden, USA.
Henry J DolchOrthopedics and Traumatology, Cooper University Hospital, Camden, USA.
Philadelphia College of Osteopathic Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Distal radius fractures are often treated conservatively with immobilization. Immobilizing above the elbow limits forearm rotation, though recent literature has suggested the effects on radiographic or functional outcomes may be negligible. This systematic review and meta-analysis aimed to analyze the radiographic and functional outcome scores of distal radius fractures managed with short-arm (SA) immobilization and long-arm (LA) immobilization. An electronic systematic search was performed of the PubMed and EMBASE databases from inception to October 5, 2022. All randomized controlled trials (RCTs) involving patients with acute distal radius fractures undergoing nonoperative treatment (involving application/maintenance of immobilization) comparing above-elbow versus below-elbow constructs were included. The outcomes of interest were changes in radiographic parameters (loss of volar tilt [VT], radial height [RH], and radial inclination [RI]), loss of reduction, requirement for surgery, and patient-reported functional outcomes (Disabilities of the Arm, Shoulder, or Hand [DASH] or Quick DASH survey). The Cochrane Risk of Bias Tool 2.0 was used for study quality assessment. The effect size of the interventions was assessed using random effect models to calculate mean differences (MDs) for continuous variables and odds ratios (ORs) for categorical variables. Standardized mean difference (SMD) was calculated for patient-reported functional outcome scores. Nine studies involving 983 cases were included, including 497 SA and 486 LA. No statistically significant differences were observed with regards to VT (

Indexed as

distal radius fractureimmobilizationmeta-analysisnonoperative treatmentsystematic review

Identifiers

PMID38590464
PMCPMC10999297
OpenAlexW4392754833

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.