OE JOURNAL
OE Journal
Vol. 14 | Iss. 19 | October 2026 - 36 Studies
Questions This Issue Explores
In adults presenting to emergency departments with uncomplicated musculoskeletal conditions, did physiotherapist-led care, compared with usual physician-led or nurse practitioner-led care, reduce emergency department length of stay while maintaining patient safety, improving patient satisfaction, and reducing health-care costs over a 42-day follow-up period?
In adults with chronic lateral epicondylitis who had failed conservative treatment, did PRP injection, compared with corticosteroid injection, provide greater improvements in pain and upper extremity function, as measured by PRTEE and DASH scores, over 12 months?
In elderly patients aged ≥60 years undergoing HA or THA for displaced femoral neck fractures, did cemented femoral stem fixation, compared with uncemented fixation, reduce mortality, periprosthetic fractures, dislocations, and wound infections across postoperative follow-up periods?
In adults with acute Rockwood type III to V ACJ dislocations, how did operative management compare with nonoperative management in improving shoulder function, PROMs, cosmetic satisfaction, return to work or sport, and complication rates over follow-up periods ranging from 12 to 229.2 months?
In adults with rotator cuff tendinopathy or partial-thickness tears, did PRP injections, compared with CS injections, improve pain, shoulder function, and safety outcomes at 3–6 weeks, 3 months, and 6 months?
EDITOR'S PICK 
Physiotherapist-led care for musculoskeletal conditions in the emergency department (RESHAP-ED)
1491 patients presenting to the emergency department with uncomplicated musculoskeletal conditions were randomized to receive physiotherapist-led care or usual physician-led or nurse practitioner-led care. The primary outcome of interest was emergency department length of stay. Secondary outcomes included time to initial clinical assessment, duration of clinical care, timely discharge, patient satisfaction, pain intensity, quality of life, adverse events, and health-care costs. Outcomes were assessed during the emergency department visit and up to 42 days after discharge. Overall, the results of the study revealed that physiotherapist-led care significantly reduced emergency department length of stay by 1 hour, improved timeliness of care and patient satisfaction, and reduced costs compared with usual care. There were no significant differences in pain, quality of life, or adverse events. These findings suggested that physiotherapist-led care was an efficient, safe, and cost-effective alternative for managing uncomplicated musculoskeletal presentations in emergency departments.
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