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8%
Synopsis: 6 randomized controlled trials were included in this systematic review to determine if the addition of hydrodilatation to a corticosteroid injection provides an improvement in pain-free range of motion and pain relief in patients with adhesive capsulitis.The results of this systematic review indicated that for range of motion results at 4-6 weeks, one of three studies reported a significant difference in favour of the hydrodilatation group, at 8-12 weeks, two of four studies reported a significant difference in favour of the hydrodilatation group, and at 16-24 weeks, neither of two studies reported a significant difference in favour of the hydrodilatation group. The available evidence... Read More »
Author verified Level 2 Meta Analysis
5%
Synopsis: Eleven randomized controlled trials were included in this systematic review and meta-analysis which investigated the efficacy of trigger point dry needling for shoulder and upper extremity pain associated with myofascial trigger points.Two studies compared trigger point dry needling of active and latent trigger points to trigger point dry needling of active trigger points alone; meta-analysis demonstrated a greater reduction in pain and increase in pressure pain threshold among groups administered dry needling of both active and latent trigger points.Meta-analysis of these studies demonstrated no significant difference in increase in grip strength. Among the other... Read More »
Level 2 Meta Analysis
4%
Synopsis: 1583 patients with symptomatic knee osteoarthritis were randomized to either glucosamine monotherapy, chondroitin monotherapy, combined glucosamine and chondroitin therapy, celecoxib 200mg daily, or placebo.Patients were assessed over 24 weeks of treatment.In the primary analysis, only the celecoxib group demonstrated a significantly higher rate of patients attaining the primary efficacy endpoint - a reduction of WOMAC pain by a minimum of 20% relative to baseline - compared to placebo. However, when only... Read More »
RCT
4%
Synopsis: Seven randomized controlled trials were included in this meta-analysis which compared function on the Victorian Institute of Sports Assessment - Achilles questionnaire (VISA-A) between autologous blood product injection and placebo group (sham injection, no injection, or physiotherapy alone). Pooled results demonstrated no significant differences between ABP groups and placebo groups for VISA-A scores at 4-6 weeks, 12 weeks, 24 weeks, or 48 weeks. Read More »
Author verified Level 1 Meta Analysis
3%
Synopsis: 57 patients with a displaced fracture of the distal third of the clavicle were randomized to treatment through either open reduction and internal fixation with a plate, or to conservative management through sling immobilization.Follow-up was performed at 1 year after treatment.Patient-reported disability and function scores demonstrated no significant differences between groups. Malunion and nonunion... Read More »
Conference Report
3%
Synopsis: 69 patients with a closed, displaced clavicle fracture (Robinson type 2B) were randomized to surgery with open reduction and internal fixation with a plate, or two nonoperative treatment with an arm pouch sling.Patients were followed over 24-month follow-up for union, incidences of nonunion and malunion, complications, and function through the Constant score.Results demonstrated no significant differences in the rate of nonunion between groups, though time to union was significantly shorter in the plate group compared to sling group. Additionally, function at... Read More »
Level 2 RCT
2%
Synopsis: 18 patients with a displaced (>2mm) base of the 5th metatarsal fracture were randomized to be treated with either open reduction and internal fixation (ORIF) or nonoperative management with a short leg cast.The purpose of this study was to compare clinical measures of pain and function, time to union, and restoration of injured metatarsal length between groups.Follow-up was performed for an average of 8.5 weeks.Results demonstrated no significant differences in pain or functional scores, despite a significantly shorter time to union in the operative group. Read More »
Level 2 RCT
2%
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
2%
Synopsis: 348 patients with femoroacetabular impingement syndrome were randomized to either arthroscopic intervention or a personal hip therapy programme.Patients were assessed after 6 and 12 months (primary endpoint) using the International Hip Outcome Tool (iHOT-33; primary outcome), the EQ-5D-5L and VAS, and the SF-12 measures, and were monitored for any adverse events. A cost-utility analysis was performed using quality-adjusted life-years generated from results on the EQ-5D-5L.Results demonstrated significantly greater iHOT-33 scores at 12 months in the arthroscopy group compared to the personalized hip therapy group, and the difference exceeded the minimum clinically important difference (MCID) threshold.Secondary outcome measures did not significantly differ between groups. The cost-effectiveness of... Read More »
Level 2 RCT
2%
Synopsis: 65 patients with subacromial impingement syndrome were randomized to either active interferential current therapy or sham interferential current therapy.All patients were also administered exercise therapy, cryotherapy, and nonsteroidal anti-inflammatory drug therapy.The treatment period was two weeks, after which patients were assessed for pain, function, and disability measures.Follow-up was also performed at 1 month after the completion of treatment. Results demonstrated no... Read More »
Level 1 RCT