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Synopsis: Seven randomized controlled trials were included in this meta-analysis evaluating the efficacy of corticosteroid injections in the treatment of enthesopathy of the extensor carpi radialis brevis origin.Included RCTs featured local anesthetic or placebo saline injections as a control.Results demonstrated significantly lower pain at 1 month with corticosteroid versus control injections, but no significant difference at 3 and 6 months. Functional scores and... Read More »
Author verified Level 1 Meta Analysis
5%
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 over 4 months post-injury.No significant differences were observed in clinical and radiological outcomes between groups. The group which... Read More »
Author verified Level 2 RCT
5%
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
5%
Synopsis: 234 patients with carpal tunnel syndrome were randomized to a single injection of 20mg methylprednisolone acetate or 6 weeks of nightly splinting.Patients were assessed primarily for outcome on the Boston Carpal Tunnel Questionnaire at 6 weeks and 6 months.In addition, cost-utility analysis was performed.Results for the BCTQ Symptom Severity Score and Functional Status Score significantly favoured the CS injection group compared to the nightly splinting group at 6 weeks, while differences at 6 months were not significant. On a 6-month... Read More »
Level 2 RCT
5%
Synopsis: 96 randomized controlled trials were included in this meta-analysis and systematic review which sought to evaluate the efficacy and safety of opioid analgesia for chronic, noncancer pain compared to placebo and active comparator treatment.When compared to placebo, opioid therapy was associated with statistically significant effects with respect to pain relief, increase in physical function, and improvement in sleep quality, though the effect estimates all fell below preset minimally important differences (MIDs) for each outcome.In contrast, opioid therapy was associated with significantly higher incidences of vomiting, nausea, constipation, dizziness, drowsiness, pruritus, and dry mouth when compared to placebo. When compared to... Read More »
Author verified Level 1 Meta Analysis
5%
Synopsis: 38 patients with sub-acute non-specific low back pain (NSLBP) were randomized to receive 7 weeks of either Core Stabilization Exercise (CSE) therapy or 7 weeks of standard therapy (ultrasound and thermal treatment).Outcomes measured included lumbar joint repositioning error, pain intensity, and functional disability.The results demonstrated that CSE therapy was associated with significantly less lumbar joint repositioning error compared to the control group after 7 weeks of intervention, and 4 weeks after the cessation of treatment. Moreover, pain intensity... Read More »
Level 2 RCT
2%
Synopsis: 103 patients (age range 15-75) with 119 digits undergoing zone-II flexor tendon repairs within 48 hour of injury by Strickland four-strand tendon repair technique were randomized to post surgical rehabilitation methods of either active or passive motion therapy.At 1 year, digit range of motion was significantly greater with smaller flexion contracture and higher satisfaction scores in patients receiving active motion therapy versus passive motion therapy. However, patient-assessed outcomes... Read More »
Level 2 RCT
2%
Synopsis: 62 consecutive patients presented with 82 arthritic trapeziometacarpal joints with joint pain of at least 1 month duration and positive findings for at least one of 2 physician-delivered provocative tests to the passive hand: grind test (simultaneous axial compression and rotation of thumb) or localized tenderness at TMC joint, were randomized to be administered steroid or placebo intradermally via iontophoresis or via phonophoresis. At 6 month post-treatment there was no statistical difference in subjective and objective assessments between the placebo and steroid treatment via either iontophoresis or phonophoresis methods. Read More »
Author verified Level 1 RCT
2%
Synopsis: 18 randomized controlled trials or retrospective case control studies that compared the effect of mini-plate fixation with K-wire fixation for the treatment of metacarpal and phalangeal fractures were pooled to determine the overall effectiveness of each treatment on Chinese Han individuals. Results of the study indicated that mini-plate internal fixation resulted in significantly lower fracture healing time, postoperative infection rate, complication incidence, and surgery time when compared to K-wire fixation. Read More »
Level 1 Meta Analysis
2%
Synopsis: 59 patients (>18 years of age) who were diagnosed with mallet finger (with or without fracture) and who had undergone continuous splint/cast immobilization and hyper-extension intervention (6-8 weeks), were randomly assigned into 1 of 2 treatment groups to determine the effect of an additional one month of night splinting on extensor lag.Participants either received an additional one month intervention with a night splint following their continuous splinting period or received no additional intervention (control). Results from the... Read More »
Author verified Level 2 RCT