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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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②
Synopsis:
28 patients with knee osteoarthritis (OA) were randomized to the order in which they received either a pair of lateral wedged insoles or an off-the-shelf valgus knee brace for two consecutive weeks in this cross-over randomized trial.A 2 week washout period was used between treatments.The purpose of this study was to determine the biomechanical and clinical effects of these two treatments as assessed using knee kinematics and kinetics parameters, the Western Ontario and McMaster Universities Arthritis Index (WOMAC), and a 100mm visual analogue scale (VAS).Findings indicated a significantly reduced early stance external knee adduction moment (EKAM) in the lateral wedged insoles group compared to the valgus knee brace group, but knee varus angle was significantly reduced in the brace group compared to the insole group.Pain and functional outcomes were comparable between groups. Both treatment methods...
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Author verified Level 2 RCT
5%
①
Synopsis:
This is a meta-analysis of ten randomized controlled trials comparing operative and non-operative treatment for primary patellar dislocation.A total of 510 patients were included, and outcomes were recurrence (at 24-44 months and 72-86 months), function (at 24-44 months) and revision rate (at 72-84 months).A subgroup analysis was also performed on patients < 16 years old (at 24-168 months).Overall, operative management was significantly favoured in terms of recurrent dislocation and function at 24-44 months.There was a trend favouring surgery for recurrence and revision at 72-86 months, though this was non-significant.
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Level 1 Meta Analysis
5%
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Synopsis:
The authors conducted a multi-centre, assessor blinded, randomized controlled trial.They randomized 40 patients to two groups.Both groups received a conservative physiotherapy protocol.Patients in the intervention group also received a standard wrist splint. Patients in the...
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Level 2 RCT
2%
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Synopsis:
50 patients were randomized to compare the functional assessments of two techniques in treating Bankart lesion in traumatic anterior shoulder instability; patients received either an open or arthroscopic procedure. At a mean of 37.5 month follow-up, no clinically relevant differences were seen in the primary outcome measure (Disability of the Arm, Shoulder and Hand score) or any of the secondary outcome measures between the two groups.
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Author verified Level 2 RCT
2%
③
Synopsis:
This meta-analysis identified 6 studies that compared open Bankart repair versus arthroscopic repair with suture anchors as treatment for post-traumatic anterior instability of the shoulder.A total of 501 patients were identified from these 6 studies. Results from this...
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Level 3 Meta Analysis
2%
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Synopsis:
Data from 8 articles (9 studies; 3 RCTs) was included in this systematic review to ascertain the effectiveness of platelet-rich plasma (PRP) for the treatment of lateral epicondylitis.The systematic review demonstrated that the combined effect size resulted in significant improvements in pain and function with PRP: of the 9 included studies (5 RCTs), 2 cohort studies indicated that PRP improved clinical satisfaction scores,1 case-control study suggested that PRP induced a significantly superior improvement in symptoms compared with bupivacaine. Two smaller trials...
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Level 2 Meta Analysis
2%
①
Synopsis:
101 patients (106 shoulders) were randomized to investigate the efficacy of either an intra-articular injection or periarticular injection in the treatment of symptomatic acromioclavicular joints.Outcome measurements of pain and function were assessed up to 3 weeks post-injection.The results indicated that either injection provided similar, significant improvements in pain and function. There was no...
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Author verified Level 1 RCT
2%
Synopsis:
25 studies were included in this review investigating total elbow arthroplasty (TEA) and open reduction and internal fixation (ORIF) in the treatment of distal humeral fractures.Of the 25 studies included, 24 were deemed to be weak through quality assessment.The results indicated that functional outcome and range of motion appear to be similar following surgery using either TEA or ORIF.Non-progressive radiolucency was observed in 9.8% of TEA cases, and radiographic implant loosening in 4.4% of TEA cases. The two treatments...
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Conference Report
2%
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Synopsis:
49 obese patients suffering from chronic low back pain (cLBP) were randomized to receive resistance exercise (TOTRX), lumbar extensor exercise (LEXT), or to a control group (CON), in order to investigate the role of lumbar muscle strength on walking endurance.Patients were monitored over 4 months.The evidence presented in this study demonstrated greater gains in lumbar extensor strength after 4 months with the exercise groups compared to control. Responders (those with...
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Author verified Level 2 RCT
2%
Synopsis:
46 patients demonstrating over 6 months of Lateral Epicondylitis symptoms were randomized to evaluate the efficacy of open fixation against radiofrequency microtenotomy (RFMT) over 12 months.Patients were evaluated based on Grip Strength, Disability of Arm, Shoulder, and Hand (DASH), and pain scores.The initial 6 week evidence presented in this conference reported demonstrated comparable strength, disability, and pain between the two approaches.RFMT was associated with better strength and ability, while pain was slightly better with open release patients.This trial is still on going and we await the 1 year follow-up results.
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Conference Report