Showing 1 - 12 of 421
Shock wave therapy ineffective in treatment of lateral epicondylitis
Shock wave therapy ineffective in treatment of lateral epicondylitis
  • 1
Level I - Randomized Trial
Synopsis:
272 patients with lateral epicondylitis who did not respond to at least 6 months of conservative treatment were treated with local anesthesia.They were then randomized to extracorporeal shock wave therapy with three treatments of 2000 pulses each or to placebo treatment.The primary outcome was rate of success (based on the Roles and Maudsley score and need for additional treatment) at 12 weeks.Other outcomes were the Roles and Maudsley score, subjective pain rating, and grip strength through 12 months.Success rates were similar between the two groups and there were no significant differences between groups for the other outcomes. Two-thirds of patients... read more
Intra-articular lidocaine safe and effective for reduction of shoulder dislocations
Intra-articular lidocaine safe and effective for reduction of shoulder dislocations
  • 2
Level II - Randomized Trial
Synopsis:
30 patients with an isolated glenohumeral joint dislocation were randomized to receive either intravenous sedation or intra-articular lidocaine to facilitate reduction of the dislocation using the modified Stimson method.The two groups were compared with regard to the rate of successful reduction, pain as rated on a visual analog scale, time required for the reduction, time from the reduction until discharge from the emergency department, and cost. The lidocaine group required... read more
Combined ultrasound-guided needling and shockwave therapy for calcifying tendonitis
Combined ultrasound-guided needling and shockwave therapy for calcifying tendonitis
  • 2
Level II - Randomized Trial
Synopsis:
This trial randomized patients with calcific tendonitis to receive ultrasound-guided needling followed by high-energy shockwave therapy (Group I, n=40) or shock-wave therapy alone (Group II, n=40).After mean follow-up of 4.1 months, those in the Group I had better clinical results as measured by Shoulder Constant scores as well as radiographs showing a significant decrease in calcific deposits when compared to Group II.In addition, arthroscopic removal of deposits was avoided in 80% of those in Group I compared to 55% in Group II. There were no... read more
Satisfactory clinical results in Bankart reconstruction using PGACP or PLLA implants
Satisfactory clinical results in Bankart reconstruction using PGACP or PLLA implants
  • 2
Level II - Randomized Trial
Synopsis:
40 patients with recurrent, unidirectional, post-traumatic shoulder instability were randomised to undergo arthroscopic Bankart reconstruction using either the polygluconate co-polymer tack implants (PGACP) or the self-reinforced poly-L-lactic acid polymer tack implants (PLLA).The primary outcome was clinical and radiographic results.Results indicated that both implants produced satisfactory clinical outcomes at the 2-year follow-up. However, radiographic assessment... read more
Subacromial injections inaccurate regardless of infiltration method or surgeon confidence
Subacromial injections inaccurate regardless of infiltration method or surgeon confidence
  • 2
Level II - Randomized Trial
Synopsis:
33 patients with clinical signs of subacromial impingement were randomised to undergo a subacromial injection for pain management using either a posterior or anteromedial approach.The primary outcome was the accuracy of the injection based on clinical and radiographic (MRI) results. The findings based... read more
High-grade mobilization improves disability and ROM for adhesive capsulitis (shoulder)
High-grade mobilization improves disability and ROM for adhesive capsulitis (shoulder)
  • 2
Level II - Randomized Trial
Synopsis:
100 patients undergoing treatment for unilateral adhesive capsulitis of the shoulder were randomised to receive treatment using either a low-grade mobilization technique (LGMT) or high-grade mobilization technique (HGMT).The primary outcomes were range of motion at the shoulder and disbaility.Results indicated that the HGMT group showed better (albeit small) improvements in the outcomes examined compared to the LGMT group. However, both groups... read more
Shock-wave therapy improves pain/function in treating calcific tendinitis of the shoulder
Shock-wave therapy improves pain/function in treating calcific tendinitis of the shoulder
  • 1
Level I - Randomized Trial
Synopsis:
90 patients with calcific tendinitis of the shoulder were randomised to receive a radial shock-wave therapy or a controlled treatment.The outcomes examined were pain, function, and calcification removal. Results indicated that... read more
The use of the intramedullary nail is most effective in treating humerus shaft fractures
The use of the intramedullary nail is most effective in treating humerus shaft fractures
  • 2
Level II - Randomized Trial
Synopsis:
45 patients with diaphyseal fractures of the shaft of the humerus were randomized to receive treatment using an intramedullary nail (IMN) or dynamic compression plate (DCP).Over 12 months, the patients who received IMN had a significantly shorter mean union time and a lower complication rate than those who received DCP. There was, however,... read more
Continuous interscalene infusion of levobupivacaine effective for shoulder surgery
Continuous interscalene infusion of levobupivacaine effective for shoulder surgery
  • 1
Level I - Randomized Trial
Synopsis:
16 patients undergoing open shoulder surgery were randomized to receive either a continuous-infusion brachial plexus block with levobupivacaine or a standard single injection for the management of post-operative pain.Pain scores, consumption of morphine, and motor and sensory block were measured throughout the course of the study. At the end... read more
Open techniques effective in preventing recurrent shoulder instability
Open techniques effective in preventing recurrent shoulder instability
  • 2
Level II - Meta-analysis
Synopsis:
This meta-analysis analyzed eighteen studies (4 randomized clinical trials, 10 non-randomized comparative trials, and 4 observational studies) that compared arthroscopic versus open surgical approaches in treating anterior shoulder instability.Results from the analysis indicated that open techniques were more effective in preventing recurrent instability, and allowed for a faster return to work/sport abilities as compared to arthroscopic approaches. However, arthroscopic methods... read more
Botulinum Toxin A injection is an effective treatment for radial epicondylitis
Botulinum Toxin A injection is an effective treatment for radial epicondylitis
  • 2
Level II - Randomized Trial
Synopsis:
132 patients with radial epicondylitis/tennis elbow were randomized to either receive an injection of botulinum toxin A into the forearm extensor muscles, or a placebo, to determine whether one treatment is superior to the other.The results indicated that an injection of botulinum toxin A was beneficial in improving the symptoms of patients with radial epicondylitis. Patients treated with... read more
Comparable clinical outcomes with arthroscopic single or double-row suture anchor repair
Comparable clinical outcomes with arthroscopic single or double-row suture anchor repair
  • 1
Level I - Randomized Trial
Synopsis:
60 patients with large or massive rotator cuff tears were randomized to undergo one of two surgical procedures for rotator cuff repair.One group underwent a single-row suture anchor technique while the second group underwent a double-row suture anchor technique. Results at the... read more