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Synopsis: 72 patients with lateral epicondylitis were randomized to treatment with either four weekly sessions of radial extracorporeal shockwave therapy or four weeks of wrist extensor splinting.Patients were assessed for outcome after 4 weeks, 12 weeks, and 24 weeks. No significant between-group... Read More »
Level 2 RCT
10%
Synopsis: 26 randomized controlled trials were included in this meta-analysis which compared efficacy and safety outcomes of glucosamine monotherapy, chondroitin monotherapy, and combined therapy to placebo.A total of 30 distinct comparison were available among the included studies, with follow-up ranging from 4 weeks to 144 weeks.Pooled estimates demonstrated significant effects of chondroitin on pain and function measures compared to placebo, while glucosamine demonstrated significant a significant effect on stiffness measures.Combined therapy failed to demonstrate a significant effect compared to placebo for any efficacy measures. No significant differences... Read More »
Level 2 Meta Analysis
5%
Synopsis: 134 patients with metastatic bone disease and a vertebral compression fracture (VCF) were randomized to be treated with either balloon kyphoplasty or a standard non-surgical treatment (control group) to compare the effects of these treatments on pain, function and quality of life.Results indicated that the kyphoplasty group had significantly better improvements in function, quality of life, reduced activity days, bed rest days, and analgesic consumption compared to the control group at 1 month.The kyphoplasty group improved similarly up until 12 months post-treatment. Furthermore, safety was... Read More »
Author verified Level 2 RCT
5%
Synopsis: 9 studies (8 RCTs, 1 controlled clinical trial) were selected for a systematic review of elderly patients with a proximal humerus fracture.The goal of this study was to determine whether surgical or nonoperative treatment is the optimal intervention in patients over the age of 60.Operative treatments identified in the included trials were the tension band technique, locking plates, pinning and hemiarthroplasty.The results of this review indicated that many studies did not find a significant difference in functional outcomes when comparing locking plates or tension bands to nonoperative treatment at 1 year.There was a significantly better health-related quality of life and Euroqol-5D in patients that received a hemiarthroplasty compared to the nonoperative group for patients with 4-part fractures.Complications were common in the operative treatment groups. This study highlights... Read More »
Level 2 Meta Analysis
5%
Synopsis: 165 patients with trigger finger were randomized to open release of the A1 pulley or to treatment with a corticosteroid injection.Patients were assessed for reduction in Trigger Finger Score grade to either I or IIa, representing normal movement of the finger.Follow-up was performed at 3 and 12 months after treatment.At both 3 and 12 months, the open release group demonstrated a higher percentage of patients with a Trigger Finger Score of I or IIa when compared to the corticosteroid injection group. Within the corticosteroid... Read More »
Author verified Level 2 RCT
5%
Synopsis: 60 patients with first carpometacarpal joint osteoarthritis were randomized to either the use of an allograft for suspension-interposition arthroplasty or to the use of a flexor carpi radialis tendon autograft.Patients were assessed for the primary outcome measure of the Michigan Hand Questionnaire over a 12-month follow-up.Results demonstrated no significant differences between groups from 6 weeks to 12 months postoperatively. The incidence of... Read More »
Author verified Level 2 RCT
5%
Synopsis: 36 patients scheduled for total shoulder arthroplasty were randomized to shoulder immobilization for 6 weeks in either neutral rotation or internal rotation.Patients were assessed for patient-reported outcome measures and shoulder range of motion over the first postoperative year.For patient-reported function, no significant differences were observed between groups for the Disabilities of the Arm, Shoulder, and Hand (DASH) score, the Western Ontario Osteoarthritis of the Shoulder (WOOS) score, or the Singe Assessment Numeric Evaluation (SANE) score.For range of motion, a significant difference in favour of the neutral rotation group compared to the internal rotation group was observed in the increase in abducted external rotation while supine. Additionally, decrease in... Read More »
Conference Report
5%
Synopsis: 51 patients with a minimally displaced radial head fracture were randomized to either a supervised outpatient physical therapy program or home-based exercise program.Patients were assessed for self-reported disability, time to clinical union, and elbow range of motion over a 1-year follow-up.Self-reported disability scores were significantly higher in the formal PT group compared to the home exercise group at 6 weeks, while differences between groups at 3 months and 1 year were not significant. Elbow range of... Read More »
Conference Report
5%
Synopsis: Four studies - three randomized trials and one nonrandomized trial - which investigated the effect of the addition of taping to physiotherapy versus physiotherapy alone in the treatment of subacromial impingement were included in this systematic review.Due to clinical heterogeneity, a meta-analysis was unable to be performed.For most outcome measures, including pain at rest, pain on movement, patient-reported disability, and range of motion, there was at least one study which provided data in support of taping versus control. Nonetheless, there was... Read More »
Author verified Level 2 Meta Analysis
5%
Synopsis: 152 patients with an elbow dislocation, distal humerus fracture or proximal radius fracture, with or without concomitant ulna fracture, were randomized to either oral ketotifen fumarate or lactose placebo.Patients were assessed at 12 weeks post-injury for elbow range of motion in flexion-extension, the Disabilities of the Arm Shoulder, and Hand (DASH) questionnaire, incidence of complications, and incidence of union.Overall, no significant differences between groups were noted for any of the assessed outcomes. When operatiely managed... Read More »
Conference Report