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45%
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PRP injection more effective than corticosteroid injection after 12 weeks for gluteal tendinopathy
①
Synopsis: 80 patients with grade 2-3 gluteal tendinopathy were randomized to intratendinous injection of either platelet-rich plasma or corticosteroid (betamethasone).Patients were assessed over a 12-week follow-up for results on the modified Harris Hip Score.Results at 12 weeks demonstrated significantly higher scores on the mHHS in the PRP group compared to the CS group. Additionally, the rate... Read More »
Author verified Level 1 RCT
3%
Diacerein effective, safe and has carry-over effect in treating knee osteoarthritis pain
①
Synopsis: 171 patients with symptomatic knee osteoarthritis (OA) were randomized to receive one of two treatments for the primary outcome of pain.The intervention group received diacerein, while the control group received piroxicam (a non-steroidal anti-inflammatory drug).Patients were also allowed to take paracetamol up to 6 times daily as a rescue analgesic. Results showed that... Read More »
Level 1 RCT
3%
Greater patient preference for triamcinolone hexacetonide vs. saline injection in knee OA
②
Synopsis: 12 patients with bilateral knee osteoarthritis had one knee randomized to injection with 20mg triamcinolone hexacetonide, and the other knee randomized to injection with saline.The purpose of this study was to compare pain, knee stiffness & tenderness, patient preference, and thermographic indices between knees over a 6-week follow-up. While reporting of... Read More »
Level 2 RCT
3%
Steroid injection into rotator interval favoured over IA & subacromial injection for frozen shoulder
Synopsis: 97 patients with symptomatic primary adhesive capsulitis for less than 9 months were included in this trial to compare the efficacy of three sites for corticosteroid injections.Patients were randomized to receive an injection of 1mL 40mg/mL triamcinolone acetonide with 2mL 2% lidocaine within the rotator interval along the coracohumeral ligament, in the intraarticular space, or in the subacromial space.All injections were performed under ultrasound guidance. At 12 weeks,... Read More »
Author verified RCT
2%
AAOS2018: Repair vs. either decompression alone or conservative treatment for rotator cuff tear
Synopsis: Five randomized controlled trials were included in this meta-analysis comparing the outcomes of surgical repair and either subacromial decompression or conservative treatment. Meta-analysis of functional outcome scores demonstrated significantly favourable results of repair compared to both subacromial decompression alone or conservative treatment. Read More »
Conference Report
2%
AAOS2018: Neuromuscular electrical stimulation does not affect atrophy after Achilles repair
Synopsis: 40 patients scheduled for Achilles tendon repair were randomized postoperatively to either neuromuscular electrical stimulation (NMES) or sham NMES.Patients were followed up over 12 weeks for patient-reported function, cross-sectional calf muscle volume on MRI, and calf circumference. Results demonstrated no... Read More »
Conference Report
1%
Lateral wedge insoles show no benefit in patients with medial knee osteoarthritis
①
Synopsis: 200 patients were randomized to evaluate the effect of lateral wedge insoles on improving symptoms and slowing structural disease progression of knee osteoarthritis (OA).Patients wore either full length 5 degree lateral wedged insoles or flat control insoles daily for 12 months.Results indicated that there were no significant between-group differences regarding changes in overall pain or medial tibial cartilage volume.Lateral wedge insoles did not lead to any symptomatic or structural benefits over flat control insoles for medial knee OA. In addition, more... Read More »
Author verified Level 1 RCT
1%
Hyaluronan injection beneficial for OA patients over age 65 with poor baseline function
②
Synopsis: 240 patients aged 40-75 with knee osteoarthritis (OA) were randomized to receive 5 weekly injections of hyaluronan, or to receive 5 placebo injections.The purpose of the study was to determine the effects of hyaluronan injection on OA symptoms and knee function, up to 20 weeks after the start of treatment.Primary outcomes of interest were visual analogue scale (VAS) results for pain and disease activity, as well as algofunctional index score. Overall results indicated... Read More »
Level 2 RCT
1%
HA injections improve knee OA symptoms and may exert a 1-year carry-over effect
①
Synopsis: 306 patients were randomized to receive either intra-articular hyaluronic acid (HA) injections or placebo injections for the treatment of knee osteoarthritis.The purpose of this study was to compare the efficacy and safety of each treatment by investigating whether there is a difference in the number of patients displaying a clinical response to treatment in each group. It was found... Read More »
Level 1 RCT
1%
No difference between BTB and ST autograft for ACL reconstruction at long-term follow-up
②
Synopsis: 71 patients with an ACL rupture were randomized to receive ACL reconstruction using either a central third bone-patellar tendon-bone autograft or a triple/quadruple semitendinosus autograft.The results at the 7 year follow up period indicated that similar outcomes were achieved using either the central third BTB autograft or the triple/quadruple ST autograft. In addition, in... Read More »
Level 2 RCT