Showing 13 - 24 of 205 reports matching: Hand & Wrist
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Synopsis: 36 patients with closed, displaced, and unstable distal radius fracture were randomized to receive either general anaesthesia or brachial plexus blockade. The purpose of this study was to compare pain scores and analgesic consumption at 2, 4, 6, 12, 24, 48 and 72 postoperative hours. Operative time was Read More »
Author verified Level 2 RCT
Synopsis: 5 randomized controlled trials (RCTs), with a total of 215 patients, were included in this systematic review to determine if there are benefits to reduction and splint or cast immobilization to fractures of the fifth metacarpal neck (or more commonly known as boxer's fractures). Analysis of the included studies indicated that splint or cast immobilization yields no benefits in range of motion, strength, or any other measured outcomes when compared to soft wrap or buddy taping treatment without reduction. On the contrary, Read More »
Level 3 Meta Analysis
Synopsis: 125 Norwegian patients, within a week of having acute wrist trauma requiring radiographic examination, were pseudo-randomized (based on the date of admission) to receive either early MRI treatment or standard treatment. The purpose of the study was to determine how early MRI compares with conventional management in treating suspected scaphoid fractures from a cost and efficacy perspective. Results indicated that Read More »
Level 2 RCT
Synopsis: 46 adult male patients with displaced fifth metacarpal neck fractures were included in the study. Patients were randomized to undergo surgery with either an antegrade intramedullary pinning technique or a retrograde intramedullary pinning technique to compare several clinical and radiographic outcomes between these procedures. The study found Read More »
Level 2 RCT
Synopsis: 40 patients with wrist fractures were treated with antiosteoporotic therapy (calcium and vitamin D) with or without the addition of strontium ranelate. The purpose of this study was the investigate the proposed clinical advantages and increased functional recovery of the addition of strontium ranelate by recording bone callus formation, cortical continuity, and permanence of fracture gap (via ultrasonographic confirmation). Results demonstrated that Read More »
Author verified Level 2 RCT
Synopsis: 92 patients (100 wrists) with carpal tunnel syndrome were randomized to undergo carpal tunnel release with either a standard limited open or short wrist transverse open surgical technique. The purpose of this study was to compare these two incision methods by evaluating scar sensitivity, symptom severity, function, and patient satisfaction two years after surgery. Results demonstrated that Read More »
Level 2 RCT
Synopsis: 68 patients with a fifth metacarpal neck fracture were randomized to two different conservative management options: buddy taping with soft wrapping, or closed reduction and cast immobilization. The purpose of this study was to compare clinical and radiological outcomes between the two treatment options. Follow-up was conducted Read More »
Author verified Level 2 RCT
Synopsis: 50 patients diagnosed with carpal tunnel syndrome (CTS) via electromyography were randomized to receive either endoscopic or open carpal ligament release surgery as treatment. The purpose of this study was to compare the functional and electrophysiological outcomes of endoscopic surgery when compared to open surgery after a follow-up period of up to 12 months. Results demonstrated that Read More »
Level 2 RCT
Synopsis: 36 patients (39 digits) with trigger finger were randomized to receive ultrasound-guided (UG) hyaluronic acid (HA) injection therapy or standard UG steroid injection therapy. The purpose of this study was to examine the clinical effects of HA therapy by means of measuring Quinnell trigger finger scale score, pain, active motion and grip strength when compared to steroid therapy. Results demonstrated that Read More »
Level 1 RCT
Synopsis: 27 randomized and quasi-randomized trials that investigated safety outcomes in patients undergoing either endoscopic or open carpal tunnel release for carpal tunnel syndrome were included in this meta-analysis. The study was conducted to determine whether earlier concerns regarding the safety of endoscopic release in comparison to an open approach were still applicable presently. The study found Read More »
Author verified Level 1 Meta Analysis
Synopsis: 36 patients with a Colles' fracture who underwent surgical fixation were randomized to either a transcutaneous electrical nerve stimulation (TENS) intervention or sham TENS, once per day for the first 5 postoperative days. The purpose of this study was to determine whether the use of TENS significantly reduced acute postoperative pain. Findings indicated no Read More »
Level 2 RCT
Synopsis: 61 patients treated conservatively for distal radius fracture were randomized to receive either 3 weeks of physical therapy alone or with the addition of occupational therapy. The purpose of this randomized controlled trial was to assess the effectiveness of the additional occupational therapy in terms of range of motion, grip strength and function one month after the conclusion of rehabilitation. The results suggested Read More »
Level 2 RCT