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You are viewing the most viewed ACE Reports by Primary Care Physicians over the last 30 days in all specialties.
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13%
①
Synopsis:
Sixty patients with trigger finger were randomized to receive a single corticosteroid injection with a full-time static splint at the metacarpophalangeal joint (3 months) (n=30) or a single corticosteroid injection alone (n=30).The primary outcome of interest was the Numeric Pain Rating Scale (NPRS).Secondary outcomes of interest included Boston questionnaire scores for symptom severity and functional status, grip strength, and the stages of stenosing tenosynovitis.Outcomes were measured at 1 and 3 months follow-up.The results revealed significantly greater improvements in pain, symptom severity, and disease severity after 3 months in the splint group. Improvements in grip...
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Author verified Level 1 RCT
13%
Synopsis:
90 patients with primary frozen shoulder were randomized to receive an intra-articular glenohumeral corticosteroid injection via a rotator interval approach (n=45) or a posterior approach (n=45).The outcomes of interest included pain on a Visual Analog Scale (VAS), the American Shoulder and Elbow Surgeons (ASES) score, the subjective shoulder value (SSV), and range of motion (ROM).Outcomes were assessed at 3, 6 and 12 weeks post-injection.Improvements in all clinical outcomes were observed between the two groups.No differences were observed between the rotator interval and posterior approach groups, with the exception of the improvement in range of motion in forward flexion and abduction, which was superior in the rotator interval group. The rate of...
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Conference Report
8%
①
Synopsis:
16 randomized trials with a total of 968 patients scheduled for total knee arthroplasty were included in this systematic review and meta-analysis comparing prehabilitation exercise therapy and control.The primary outcome of interest was the improvement in knee function within the first year post-operation: data was assessed pre-operation, 1 day to 4 weeks post-operation, at 3 months post-operation, and at 6-12 months post-operation.Results found that prehabilitation resulted in significantly better knee function up to 3 months post-operation. However, the quality...
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Level 1 Meta Analysis
4%
②
Synopsis:
30 patients scheduled for anterior cruciate ligament (ACL) reconstruction were randomized to either receive or not receive a femoral nerve block for postoperative analgesia.The purpose of this study was to compare isokinetic quadriceps strength – relative to the healthy knee (limb symmetry index) – and patient-reported outcome on the Knee Injury and Osteoarthritis Outcome Score (KOOS) between groups at 6 weeks and 6 months postoperatively. The results on...
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Level 2 RCT
4%
①
Synopsis:
Eleven randomized controlled trials evaluating either leukocyte-rich platelet-rich plasma (LR-PRP) or leukocyte-poor platelet-rich plasma (LR-PRP) compared to control injections in patients with lateral epicondylitis.The outcomes of interest were pain scores and clinical effectiveness.The LP-PRP group demonstrated no significant improvements in pain scores compared to control injections.The LR-PRP group demonstrated significantly greater reductions in pain compared to the control group at long-term follow-up.There was no difference in the proportion of patients who achieved treatment success in the LP-PRP group compared to the control group. However, patients who...
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Level 1 Meta Analysis
4%
①
Synopsis:
Eight hundred and twenty-three (n=823) overweight/obese knee osteoarthritis patients ≥50 years or older were randomized to receive an 18-month diet & exercise program (n=414) or an attention control (n=409), delivered in a community-based setting.The primary outcome of interest was the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) pain score.Secondary outcomes of interest included body weight, waist circumference, WOMAC function, 6-minute walk test, pain medication use, and Short-Form 36 (SF-36) physical and mental subscores.All outcomes were assessed upon completion of the 18-month study.Results of this study found diet & exercise to result in a higher rate of clinically meaningful WOMAC pain score reduction vs.control. Body weight, waist...
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Level 1 RCT
4%
①
Synopsis:
One hundred patients undergoing anterior cruciate ligament reconstruction (ACLR) with either an allograft or hamstring tendon autograft for ACL ruptures were randomized to either a blister pack of non-steroidal anti-inflammatory drugs (NSAIDs; n=50) or ibuprofen and opioids (n=50).Outcomes of interest were nausea, itching, and pain measured using the Verbal Numeric Rating Scale (VNRS) and oxycodone consumption after 6 days.No significant pairwise differences were apparent throughout the 6-day period for oxycodone use and pain scores. Nausea and itching...
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Level 1 RCT
4%
①
Synopsis:
Sixty patients (>45 years) with knee osteoarthritis were randomized to receive rectus femoris stretching exercises in addition to a 4-week lower body stretching and strengthening exercise program (n=30) or the 4-week program alone (n=30).The outcomes of interest included pain on a Visual Analog Scale (VAS), Western Ontario and McMaster Universities (WOMAC) osteoarthritis index, range of motion, and gait parameters (step length, speed).Outcomes were assessed before and after treatment.The results demonstrated significantly better WOMAC scores, better flexion range of motion and pain scores on both sides, and superior gait parameters in the rectus femoris stretching group. Stretching the rectus...
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Level 1 RCT
4%
①
Synopsis:
Eighty-eight patients undergoing surgery for a periarticular ankle fracture were randomized to receive either a combination of mannitol, infrared irradiation and kinesiology tape (n=44) or mannitol alone (n=44), post-operatively.Outcomes of interest were postoperative swelling measured via the cross-sectional diameter, pain using the Visual Analog Scale (VAS), and patient satisfaction.Swelling and pain were measured at three, five, and seven days postoperatively, whereas satisfaction was measured at 7 days.The combination group presented significantly better swelling and pain at five and seven days with better patient satisfaction at 7 days. Swelling was significantly...
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Level 1 RCT
4%
①
Synopsis:
Fifty-two patients with unilateral flexible flat foot were randomized to receive either a comprehensive exercise program (n=26) or a standard exercise program (n=26).Outcomes of interest were navicular drop height and longitudinal arch angle after 6 weeks.Patients in the comprehensive exercise group presented with better navicular drop height and medial longitudinal arch angle after 6 weeks compared to the standard exercise program.
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Author verified Level 1 RCT