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100%
9%
Assessing the efficacy of additional steroid injection to percutaneous trigger finger release
②
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
5%
No difference between PRP and lidocaine injection in addition to tenotomy for elbow tendinopathy
②
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
4%
Lower pain with focused ESWT versus therapeutic ultrasound for trochanteric pain syndrome
②
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
3%
Two-year efficacy of leukocyte-rich PRP vs. corticosteroid for gluteal tendinopathy
②
Synopsis: 80 patients with grade 2-3 gluteal tendinopathy were randomized to an intratendinous injection of either leukocyte-rich platelet rich plasma or corticosteroid.Patients were initially followed-up over the first 24 weeks after injection, after which they were given the option of secondary injection with LR-PRP if they had an unsatisfactory response to the first injection.Modified Harris Hip Score were significantly greater in the LR-PRP group compared to the CS group at 12 and 24 weeks, and at 52 and 104 weeks among patients who remained in their originally allocated group.A total of 27 patients of the CS group requested secondary injection with LR-PRP. After 104 weeks,... Read More »
Level 2 RCT
3%
No difference in pain or ROM between smartphone-based and conventional exercise for frozen shoulder
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
2%
Hyaluronic acid versus corticosteroid in the treatment of knee osteoarthritis
Synopsis: Six ACE Reports were identified from the OrthoEvidence database which compared intra-articular injection(s) of hyaluronic acid to corticosteroid in the treatment of osteoarthritis of the knee.All of the included studies were randomized controlled trials which reported pain and/or functional outcomes within 6 months of intervention.Pooled analysis of pain on a visual analog scale indicated that pain relief was significantly better with hyaluronic acid injections at both 3 and 6 months follow-up; however, this finding was strongly influenced by two studies of lower methodological quality. No significant differences between hyaluronic acid and corticosteroid injections were observed in any functional outcome measurement.Due to incomplete or lack of reporting adverse events, an assessment of safety could not be performed along with this review. Furthermore, these findings... Read More »
ACE Review
2%
AAOS2019: LP-PRP injection added to dry needling ineffective in treatment of patellar tendinopathy
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
2%
Similar clinical outcome with soft-tissue fixation and interference screw fixation in MPFL-R
②
Synopsis: 60 patients with recurrent patellar instability were randomized to receive a medial patellofemoral ligament reconstruction with either interference screw fixation or soft tissue fixation around the adductor tendon insertion.Outcomes of interest included the Kujala knee score, pain at rest and during activity, Knee Injury Osteoarthritis Outcome Score (KOOS) sub-scales, Tegner activity level, tenderness of palpation at the medial femoral condyle, and re-dislocation rate.Follow up was performed at 1 and 2 years. The results from... Read More »
Level 2 RCT
2%
Greater pain reduction over 3 months noted with fluoroscopic vs. blind sacroiliac joint injection
②
Synopsis: 125 patients with sacroiliac joint pain were randomized to either fluoroscopic-guided or landmark-based injection of corticosteroid and local anaesthetic.The primary purpose of this study was to compare pain scores, including average and worst pain, between groups after 1 and 3 months.Mean score and change from baseline were both compared.Mean scores for average pain did not significantly differ between groups at 1 and 3 months, though reduction from baseline in average pain was significantly greater in the fluoroscopic-guided injection group. Worst pain scores,... Read More »
Level 2 RCT
2%
No difference in functional outcomes between BPTB and hamstring grafts in ACL reconstruction
②
Synopsis: 42 patients with complete anterior cruciate ligament (ACL) tears were randomized to receive an ACL reconstruction with either a quadrupled hamstring tendon (QHT) graft (semitendinosus and gracilis tendon) or a bone-patellar tendon-bone (BPTB) graft.Outcomes of interest included functional outcomes measures (Lysholm, Cincinnati scores), anterior knee pain, and instability assessments (Lachman, anterior drawer and pivot shift tests).Follow up was performed at 2 weeks, 6 weeks, 3 months, 6 months and 1 year.No significant differences were observed in both Lysholm and Cincinnati scores at 2 weeks, 6 weeks, 3 months, 6 months and 1 year post-operation.However, significant differences in several Cincinnati sub-scores (pain, overall activity level, running activity) were observed between the two groups.The proportion of patients who reported anterior knee pain was similar between the two groups.Similarly, the proportion of patient who reported altered sensation over the anterolateral aspect of the proximal leg was not significantly different between groups. Lachman test, anterior... Read More »
Level 2 RCT