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You are viewing the most viewed ACE Reports by Sports Medicine Specialists over the last 30 days in all specialties.
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①
Synopsis:
Six studies involving 422 patients with chronic midportion Achilles tendinopathy were included in this systematic review and meta-analysis comparing PRP injections with nonoperative treatments.Pooled outcomes included VISA-A scores and maximal Achilles tendon (AT) thickness across three time points (3, 6, and 12 months).No significant differences were observed in functional outcomes (VISA-A score) or tendon thickness between PRP and control groups at any time point (e.g., short-term VISA-A, p = 0.29; intermediate-term AT thickness, p = 0.20). This review suggests...
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Level 1 Meta Analysis
6%
①
Synopsis:
Seventy-six patients with chronic mid-portion Achilles tendinopathy were randomized to receive either 24 weeks of daily GTN ointment (n=37) or placebo ointment (n=39), both combined with a 12-week eccentric exercise program.The primary outcome was improvement in the Victorian Institute of Sports Assessment–Achilles (VISA-A) scores at 24 weeks.Secondary outcomes included pain severity, physical function, calf muscle function, pressure pain thresholds, and tendon thickness changes assessed at 6, 12, and 24 weeks.Overall, both groups showed significant improvements in VISA-A scores and other outcomes, but there were no statistically significant differences between the groups. The findings suggest...
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Level 1 RCT
5%
①
Synopsis:
Four randomized controlled trials (274 patients) comparing high- versus low-dose steroid injections for adhesive capsulitis (frozen shoulder) were included in this systematic review and meta-analysis.Outcomes of interest included pain on a Normalized Pain Scale, shoulder range of motion (ROM), and function on a Normalized Function Scale.All outcomes were similar between the low- and high-dose steroid injection groups at all time points.The results of this meta-analysis showed that there were no additional benefits of using high-dose steroid injections for adhesive capsulitis compared to a low-dose steroid injection.
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Level 1 Meta Analysis
5%
①
Synopsis:
One hundred nine patients with severe hip osteoarthritis were randomized to receive either total hip replacement (n=53) or supervised resistance training (n=56).The primary outcome of interest was the change in the Oxford Hip Score from baseline to six months, which evaluates pain and function.Secondary outcomes included various dimensions of quality of life, physical activity levels, and functional performance tests.Outcomes were assessed at baseline and six months.Overall, total hip replacement demonstrated significantly greater improvements in hip pain and function compared to resistance training. The findings suggest...
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Level 1 RCT
4%
①
Synopsis:
This systematic review and meta-analysis included 16 randomized controlled trials (RCTs) with a total of 1,993 patients with knee osteoarthritis.The study compared the effects of platelet-rich plasma (PRP) injections versus various nonoperative treatments, including hyaluronic acid (HA), corticosteroids, and saline.Pooled outcomes of interest were patient-reported symptom relief, pain improvement, reintervention rates, and cartilage status assessed by MRI.The findings showed PRP had significantly better outcomes in symptom relief, reduced reintervention rates, and pain improvement compared to controls, but no significant benefit for cartilage regeneration. These findings suggest...
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Level 1 Meta Analysis
4%
①
Synopsis:
Seventy patients with partial thickness rotator cuff tears were randomized to receive either a physiotherapist-supervised exercise program (n=35) or a physiotherapist-prescribed home exercise program (n=35), both consisting of glenohumeral joint range of motion, stretching, and strengthening exercises performed twice a week for eight weeks.The primary outcomes of interest were the modified Constant-Murley Score (mCMS) for shoulder function and the Hospital Depression and Anxiety Scale (HADS) for psychosocial health.Secondary outcomes included pain intensity (VAS), active range of motion (AROM), Pain Catastrophizing Scale, Pittsburgh Sleep Quality Index, Short Form-12, and the Global Rating of Change Scale.Outcomes were assessed at baseline and after the intervention.Overall, both groups showed significant improvements in all measures; however, supervised exercises resulted in greater improvements in activity-related pain (P=0.004), shoulder flexion (P=0.01), abduction (P=0.02), and pain catastrophizing (P=0.005). The findings suggest...
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Level 1 RCT
4%
①
Synopsis:
One hundred and six patients undergoing bilateral total knee arthroplasty (TKA) were randomized to receive either 20 mg of duloxetine (n=53) or a placebo (n=53) from preoperative day 2 to postoperative day 28.The primary outcome of interest was pain control, measured using the visual analogue scale (VAS) at rest (rVAS) and during mobilization (mVAS).Secondary outcomes included additional non-steroidal anti-inflammatory drug (NSAID) consumption, patient satisfaction, and safety profile assessment.Outcomes were assessed at 48 hours, 1 week, 2 weeks, 4 weeks, and 3 months postoperatively.Overall, the study revealed that duloxetine significantly reduced pain scores (rVAS and mVAS) and NSAID consumption during the first two postoperative weeks, with differences leveling off by the 4-week follow-up.Patient satisfaction was also higher in the duloxetine group, with a comparable safety profile. These findings suggest...
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Level 1 RCT
2%
①
Synopsis:
Forty-three patients with displaced Lisfranc injuries were randomized to receive open reduction and internal fixation (ORIF, n=22) or primary arthrodesis (PA, n=21).The primary outcome was the Visual Analogue Scale Foot and Ankle (VAS-FA) score at 24 months.Secondary outcomes included subscales of the VAS-FA (pain, function, and complaints) and the American Orthopaedic Foot & Ankle Society (AOFAS) Midfoot Scale, assessed at 6, 12, and 24 months.Overall, the results revealed no significant differences in VAS-FA or AOFAS scores between the two groups across all follow-up points.Both ORIF and PA appear to be viable initial surgical methods for displaced Lisfranc injuries. However, the study...
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Level 1 RCT
2%
①
Synopsis:
This systematic review and meta-analysis included 10 randomized controlled trials involving patients diagnosed with knee osteoarthritis.The study compared arthroscopic surgery to various conservative treatments such as physical therapy, pharmacologic interventions, and placebo.Pooled outcomes of interest included pain relief, functional recovery (WOMAC and SF-36), and patient satisfaction.Results showed no significant differences in pain relief, functional recovery, or patient satisfaction between arthroscopy and conservative treatments. The findings suggest...
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Level 1 Meta Analysis
2%
①
Synopsis:
Ninety patients with isolated meniscal tears requiring partial meniscectomy were randomized to receive either an intra-articular PRP injection immediately after surgery (n=45) or meniscectomy alone (n=45).The primary outcome was pain reduction assessed using the visual analog scale (VAS) at 30 days.Secondary outcomes included functional recovery measured by the International Knee Documentation Committee (IKDC) subjective score, Knee injury and Osteoarthritis Outcome Score (KOOS) subscales, Tegner score for activity level, and EuroQol-Visual Analog Scale (EQ-VAS) score.Outcomes were assessed at baseline and at 15, 30, 60, and 180 days postoperatively.Overall, the study found no significant differences between groups in pain relief, function, or return to sport.PRP injection led to earlier pain improvement at 15 days, but this advantage did not translate into superior long-term outcomes. These findings suggest...
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Level 1 RCT