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Synopsis: 112 patients with trigger finger were randomized to percutaneous release of the A1 pulley with or without the addition of a steroid injection.Patients were assessed after 3 weeks and 3 months for outcome on a patient global impression of improvement scale, modified Quinnell grade, and pain on a visual analog scale. Results demonstrated significantly... Read More »
Level 2 RCT
3%
Synopsis: 80 patients with elbow tendinopathy and scheduled for needle tenotomy were randomized to adjuvant intratendinous injection or either platelet-rich plasma or lidocaine.Intratendinous injections were performed within areas of hypoechogenicity observed during ultrasound-guided tenotomy.Primary outcomes were the proportion of patients who demonstrated minimum reductions of 25% from baseline in the Disabilities of the Arm, Shoulder, and Hand (DASH) and pain on a visual analog scale (VAS). Results demonstrated no... Read More »
Level 2 RCT
3%
Synopsis: 50 patients with gluteal tendinopathy and trochanteric pain syndrome were randomized to three weekly sessions of focused extracorporeal shockwave therapy (f-ESWT) or ten daily sessions of therapeutic ultrasound (UST).Patients were assessed for pain and functional outcome at 2-month follow-up and 6-month follow-up.Numeric rating scale (NRS) for pain was significantly lower in the f-ESWT group compared to the UST group at 2 months and 6 months. Outcome on the... Read More »
Level 2 RCT
2%
Synopsis: 60 patients with primary glenohumeral osteoarthritis and scheduled for a total shoulder arthroplasty (TSA) were randomized to receive sub-scapularis repair via a sub-scapularis tenotomy (ST) or a lesser tuberosity osteotomy (LTO).Outcomes of interest included range of motion and strength measurements on forward elevation, internal rotation and external rotation, pain on a Visual Analog Scale (VAS), the Simple Shoulder Test (SST), the Short-Form 36 (SF-36) questionnaire and American Shoulder and Elbow Surgeons (ASES) score.Follow up was performed up to 1 year post-operation.Results revealed no significant differences between the LTO and ST groups in range of motion or strength om forward elevation, internal rotation, or external rotation, as well as no significant differences in VAS pain scores, ASES scores and SF-36 scores.At 3 months, SST score was significantly higher in the LTO group compared to the ST group, however at 1 year no significant difference in SST score was observed between the two groups.Additionally, mean case duration and the time for sub-scapularis repair was significantly longer in the LTO group compared to the ST group. No cases of... Read More »
Level 2 RCT
2%
Synopsis: 84 patients with frozen shoulder were randomized to perform a self-exercise program delivered conventionally or with the aid of a smartphone application.The primary outcome of interest was pain, measured on a Visual Analog Scale (VAS).Secondary outcomes included range of motion (in forward flexion, abduction, internal rotation, external rotation).Usability questionnaires (TAM-2; USE) were administered to determine the feasibility of the application.The results from the trial found no significant differences between the two groups in VAS pain scores nor range of motion in all measured directions. The usability questionnaires... Read More »
Level 2 RCT
1%
Synopsis: 26 patients with chronic lateral epicondylitis were randomized to mini-open release of the extensor carpi radialis brevis or to sham surgery with incision and exposure of the ECRB.Based on the available results, there were no significant differences between the ECRB release group and sham group in patient-reported pain frequency, pain severity, elbow stiffness, functional difficulty, elbow range of motion, grip strength, or wrist extension strength between the 2-week and 2.5-year follow-up. The trial initially... Read More »
Author verified Level 2 RCT
1%
Synopsis: 32 patients with Kellgren-Lawrence grade II-IV knee osteoarthritis were randomized to one of three injection groups: high-dose autologous bone marrow-derived mesenchymal stem cell injection and hyaluronic acid injection (high-dose MSC group), low-dose autologous bone marrow-derived mesenchymal stem cell injection and hyaluronic acid injection (low-dose MSC group), or hyaluronic acid injection alone (control group).Patients were assessed for safety and efficacy outcomes over 3, 6, and 12 month follow-up in this phase I/II study.Safety analysis reported no serious treatment-related adverse events in any group.Efficacy results demonstrated significant within-group improvement after 12 months in the high-dose MSC group for VAS pain, WOMAC pain, WOMAC stiffness, and WOMAC function, whereas within-group improvement in the low-dose MSC group was only noted for WOMAC stiffness after 6 and 12 months, and within-group improvement in the control group was only noted for WOMAC function at 3 and 6 months. Knee range of... Read More »
Level 2 RCT
1%
Synopsis: 100 patients scheduled for total knee arthroplasty and had the knee placed in 60 degrees flexion for the first 24 hours after surgery were randomized to surgery with or without intraoperative use of a tourniquet.Patients were assessed for outcomes related to blood loss, pain scores on a visual analog scale, knee range of motion, knee circumference, and incidence of complications.For blood loss outcomes, intraoperative blood loss was significantly lower in the tourniquet group, while postoperative blood loss to drainage and hidden blood loss were significantly lower in the non-tourniquet group.Total blood loss and transfusion rate did not significantly differ between groups. Pain scores and... Read More »
Level 2 RCT
1%
Synopsis: 30 patients with patellar tendinopathy and scheduled for treatment with ultrasound-guided dry needling were randomized to treatment with or without the addition of leukocyte-poor platelet rich plasma injection.Outcomes of interest included the Victorian Institutes of Sport Assessment (VISA) patellar tendinopathy score, pain on a visual analog scale, and Lysholm knee scores over 12-week and 6-month follow-up. Results demonstrated no... Read More »
Conference Report
1%
Synopsis: 72 patients with knee osteoarthritis were randomized to intraarticular injection with either 40mg methylprednisolone or 30m ketorolac.Patients were assessed for improvement over 6-week follow-up in numeric rating scale (NRS) pain scores, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Oxford Knee Score (OKS).Results demonstrated significant significant within-group improvement in both groups for NRS pain score and WOMAC scores. However, for OKS... Read More »
Conference Report