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You are viewing the most viewed ACE Reports by Sports Medicine Specialists over the last 30 days in all specialties.
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①
Synopsis:
Six studies involving 422 patients with chronic midportion Achilles tendinopathy were included in this systematic review and meta-analysis comparing PRP injections with nonoperative treatments.Pooled outcomes included VISA-A scores and maximal Achilles tendon (AT) thickness across three time points (3, 6, and 12 months).No significant differences were observed in functional outcomes (VISA-A score) or tendon thickness between PRP and control groups at any time point (e.g., short-term VISA-A, p = 0.29; intermediate-term AT thickness, p = 0.20). This review suggests...
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Level 1 Meta Analysis
5%
①
Synopsis:
Sixty-five patients with Achilles tendinopathy were randomized to receive active pulsed electromagnetic field (PEMF) therapy plus eccentric exercise (n=33) or sham PEMF therapy plus eccentric exercise (n=32).The primary outcome of interest was the Victorian Institute of Sports Assessment–Achilles (VISA-A) score.Secondary outcomes included numeric pain rating scale (NPRS) scores, tendon neovascularity measured by the Öhberg score, and time spent on sports per week.Outcomes were assessed at baseline and at 4, 8, and 12 weeks posttreatment.Overall, the results of the study revealed that while both groups showed significant improvements in VISA-A scores, NPRS scores, and tendon neovascularity over time, there were no significant differences between the PEMF and sham groups in any measured outcomes. This suggests that...
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Level 1 RCT
4%
①
Synopsis:
One hundred and six patients undergoing bilateral total knee arthroplasty (TKA) were randomized to receive either 20 mg of duloxetine (n=53) or a placebo (n=53) from preoperative day 2 to postoperative day 28.The primary outcome of interest was pain control, measured using the visual analogue scale (VAS) at rest (rVAS) and during mobilization (mVAS).Secondary outcomes included additional non-steroidal anti-inflammatory drug (NSAID) consumption, patient satisfaction, and safety profile assessment.Outcomes were assessed at 48 hours, 1 week, 2 weeks, 4 weeks, and 3 months postoperatively.Overall, the study revealed that duloxetine significantly reduced pain scores (rVAS and mVAS) and NSAID consumption during the first two postoperative weeks, with differences leveling off by the 4-week follow-up.Patient satisfaction was also higher in the duloxetine group, with a comparable safety profile. These findings suggest...
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Level 1 RCT
4%
①
Synopsis:
This systematic review and meta-analysis included 16 randomized controlled trials (RCTs) with a total of 1,993 patients with knee osteoarthritis.The study compared the effects of platelet-rich plasma (PRP) injections versus various nonoperative treatments, including hyaluronic acid (HA), corticosteroids, and saline.Pooled outcomes of interest were patient-reported symptom relief, pain improvement, reintervention rates, and cartilage status assessed by MRI.The findings showed PRP had significantly better outcomes in symptom relief, reduced reintervention rates, and pain improvement compared to controls, but no significant benefit for cartilage regeneration. These findings suggest...
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Level 1 Meta Analysis
4%
①
Synopsis:
Seventy patients with partial thickness rotator cuff tears were randomized to receive either a physiotherapist-supervised exercise program (n=35) or a physiotherapist-prescribed home exercise program (n=35), both consisting of glenohumeral joint range of motion, stretching, and strengthening exercises performed twice a week for eight weeks.The primary outcomes of interest were the modified Constant-Murley Score (mCMS) for shoulder function and the Hospital Depression and Anxiety Scale (HADS) for psychosocial health.Secondary outcomes included pain intensity (VAS), active range of motion (AROM), Pain Catastrophizing Scale, Pittsburgh Sleep Quality Index, Short Form-12, and the Global Rating of Change Scale.Outcomes were assessed at baseline and after the intervention.Overall, both groups showed significant improvements in all measures; however, supervised exercises resulted in greater improvements in activity-related pain (P=0.004), shoulder flexion (P=0.01), abduction (P=0.02), and pain catastrophizing (P=0.005). The findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Forty patients older than 50 years with chronic Achilles tendinopathy following Haglund deformity, who did not respond to conservative treatment, were randomized to receive either debridement and ostectomy alone (control group, n=20) or debridement and ostectomy with flexor hallucis longus (FHL) tendon transfer (FHL group, n=20).The primary outcome of interest was improvement in American Orthopaedic Foot & Ankle Society (AOFAS) ankle hindfoot scores and Victorian Institute of Sports Assessment Achilles (VISA-A) scores.Secondary outcomes included surgical complications and hallux function.Outcomes were assessed preoperatively and at one-year follow-up.Overall, the results indicated that while both groups showed significant improvements in AOFAS and VISA-A scores, the FHL group demonstrated greater improvements (P < .001), though the differences did not reach the minimal clinically important difference.There were no significant differences in surgical complications or hallux function between groups. These findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Ninety patients with isolated meniscal tears requiring partial meniscectomy were randomized to receive either an intra-articular PRP injection immediately after surgery (n=45) or meniscectomy alone (n=45).The primary outcome was pain reduction assessed using the visual analog scale (VAS) at 30 days.Secondary outcomes included functional recovery measured by the International Knee Documentation Committee (IKDC) subjective score, Knee injury and Osteoarthritis Outcome Score (KOOS) subscales, Tegner score for activity level, and EuroQol-Visual Analog Scale (EQ-VAS) score.Outcomes were assessed at baseline and at 15, 30, 60, and 180 days postoperatively.Overall, the study found no significant differences between groups in pain relief, function, or return to sport.PRP injection led to earlier pain improvement at 15 days, but this advantage did not translate into superior long-term outcomes. These findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Ninety-seven patients with symptomatic acetabular labral tears and limited osteoarthritis (Tönnis grades 0-2) were randomized to receive either hip arthroscopy with postoperative physical therapy (SPT) (n=52) or physical therapy alone (PTA) (n=45).Patients in the PTA group who experienced unsatisfactory improvement were allowed to cross over to surgery after completing at least 14 weeks of PT (CO group, n=32).The primary outcomes were the International Hip Outcome Tool-33 (iHOT-33) and the modified Harris Hip Score (mHHS) at 24 months.Secondary outcomes included additional patient-reported outcome measures (PROMs) and pain scores.Overall, the results demonstrated that SPT led to superior improvements in functional outcomes and pain reduction compared to PTA in both the intention-to-treat and modified as-treated analyses.Additionally, patients who crossed over to surgery experienced similar postoperative outcomes to those who underwent initial surgery. These findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Four randomized controlled trials (274 patients) comparing high- versus low-dose steroid injections for adhesive capsulitis (frozen shoulder) were included in this systematic review and meta-analysis.Outcomes of interest included pain on a Normalized Pain Scale, shoulder range of motion (ROM), and function on a Normalized Function Scale.All outcomes were similar between the low- and high-dose steroid injection groups at all time points.The results of this meta-analysis showed that there were no additional benefits of using high-dose steroid injections for adhesive capsulitis compared to a low-dose steroid injection.
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Level 1 Meta Analysis
3%
①
Synopsis:
One hundred nine patients with severe hip osteoarthritis were randomized to receive either total hip replacement (n=53) or supervised resistance training (n=56).The primary outcome of interest was the change in the Oxford Hip Score from baseline to six months, which evaluates pain and function.Secondary outcomes included various dimensions of quality of life, physical activity levels, and functional performance tests.Outcomes were assessed at baseline and six months.Overall, total hip replacement demonstrated significantly greater improvements in hip pain and function compared to resistance training. The findings suggest...
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Level 1 RCT