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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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9%
①
Synopsis:
Forty patients with chronic tendinosis were randomized to receive a percutaneous needle tenotomy with a leukocyte-rich platelet-rich plasma (LR-PRP) injection (n=21) or percutaneous needle tenotomy alone (n=19).Outcomes of interest included current pain, average pain, function, general well-being, and sleep quality, measured using 10-point scales.Outcomes were assessed up to 104 weeks post-treatment.With the exception of current and average pain scores at 6 weeks which were significantly lower in the tenotomy only group, all outcomes were similar between groups, at all time-points. No serious adverse...
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Level 1 RCT
6%
①
Synopsis:
One hundred ten patients with partial-thickness rotator cuff tears (PTRCTs) were randomized to receive either PRP with normal saline (n=55) or PRP with vitamin C (n=55).The primary outcome was pain reduction, assessed using the Visual Analog Scale (VAS).Secondary outcomes included improvements in the American Shoulder and Elbow Surgeons (ASES) score and the Constant score.Assessments were conducted at baseline, one month, and three months post-injection.Both groups demonstrated significant improvements in pain and functional scores over time.Although group B (PRP + vitamin C) showed slightly greater improvements, the differences were not statistically significant.Overall, the results indicate that PRP injections are effective in reducing pain and improving function within three months, regardless of the addition of vitamin C. These findings support...
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Level 1 RCT
5%
①
Synopsis:
This systematic review and meta-analysis included 10 randomized controlled trials involving patients diagnosed with knee osteoarthritis.The study compared arthroscopic surgery to various conservative treatments such as physical therapy, pharmacologic interventions, and placebo.Pooled outcomes of interest included pain relief, functional recovery (WOMAC and SF-36), and patient satisfaction.Results showed no significant differences in pain relief, functional recovery, or patient satisfaction between arthroscopy and conservative treatments. The findings suggest...
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Level 1 Meta Analysis
5%
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%
②
Synopsis:
36 patients with ankle sprains were randomized to receive a treatment using an elastic compression stocking or a standard treatment with Tubigrip tubular bandage.The primary outcome measure was the difference in health-related quality of life (QoL) between the two groups. Results indicated that...
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Author verified Level 2 RCT
4%
②
Synopsis:
234 patients with carpal tunnel syndrome were randomized to a single injection of 20mg methylprednisolone acetate or 6 weeks of nightly splinting.Patients were assessed primarily for outcomes on the Boston Carpal Tunnel Questionnaire at 6 weeks and 6 months.In addition, cost-utility analysis was performed.Results for the BCTQ Symptom Severity Score and Functional Status Score significantly favoured the CS injection group compared to the nightly splinting group at 6 weeks, while differences at 6 months were not significant. On a 6-month...
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Author verified Level 2 RCT
4%
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
2%
①
Synopsis:
Five randomized controlled trials (189 patients) comparing platelet-rich plasma (PRP) against conservative treatment for chronic Achilles tendinopathy were included in this systematic review and meta-analysis.Outcomes of interest included the Victorian Insitute of Sport Assessment (VISA-A) score, pain during activity on a Visual Analog Scale (VAS), and Achilles tendon thickness.VISA-A scores at 6 weeks favored the PRP group.Tendon thickness also favored the PRP group. All other outcomes...
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Level 1 Meta Analysis
2%
①
Synopsis:
One hundred eighty-three patients with indications for primary uncemented total hip arthroplasty were randomized to receive Trident hemispheric components (n=91) or Trilogy components (n=92).The primary outcome was the prevalence of postoperative noises, with secondary outcomes including quality of life (EQ-5D-3L), pain (EQ-VAS), and activity levels (UCLA scale).Outcomes were assessed at 3 and 12 months postoperatively.Overall, the study found no significant differences in the prevalence of noises between the two groups.Both groups showed comparable improvements in quality of life and functional status. These findings suggest...
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Level 1 RCT
2%
①
Synopsis:
Five randomized controlled trials including 275 patients with 283 trigger digits were included in this systematic review and meta-analysis comparing ultrasound-guided tendon release vs.open surgical release.Pooled outcomes of interest included Quick Disability of Arm, Shoulder, and Hand (QDASH) scores, grip strength, Visual Analogue Scale (VAS) scores, days to return to normal activities, and days to stopping analgesia.The pooled results showed that ultrasound-guided release significantly improved QDASH scores within the first month and reduced the days required to return to normal activities.There were no significant differences in grip strength, VAS scores, full-digit flexion, and extension between the two groups. The findings suggest...
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Level 1 Meta Analysis