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Synopsis: 90 patients with a displaced, extra-articular fracture of the distal radius were randomized to primary open reduction and internal volar plate fixation, or to primary plaster cast immobilization.Patients were assessed for scores on the Disabilities of the Arm, Shoulder, and Hand questionnaire over the first year after treatment. At 6 weeks,... Read More »
Conference Report
10%
Synopsis: 30 patients presenting with 32 cases of trigger finger were included in this study to evaluate and compare the efficacy of two splint treatments.Patients received splinting with metacarpophalangeal (MCP) joint blocking or distal interphalangeal (DIP) joint blocking splints. Results following the... Read More »
Author verified Level 2 RCT
10%
Synopsis: 120 patients with Kellgren-Lawrence grade II-III knee osteoarthritis were randomized to one of three intra-articular injection groups: platelet rich plasma, hyaluronic acid, or ozone.The purpose of this study was to compare visual analog scores (VAS) for pain and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for pain, stiffness, and function over a 12-month follow-up.The results demonstrated a marked decrease in all outcome measures within the first month in all three groups, followed by a regression at subsequent follow-ups.Between-group differences were identified, with lower scores generally observed in the PRP and HA groups compared to the ozone group at 1, 3, and 6 months.By 12 months, scores in the ozone group had returned to baseline, while scores in the PRP and HA groups were lower, relatively. Also at 12... Read More »
Level 2 RCT
10%
Synopsis: 25 patients with a total of 38 knees with osteoarthritis were randomized to the order in which they received either hydrocortisone tert-butylacetate, hydrocortisone acetate, or placebo injections.For each treatment, four injections were given, every 2 weeks.A washout period of 8 weeks was used between injection courses, with patients assessed for pain, tenderness, knee range of motion deficit, timed walking of 75 yards, and complications every 2 weeks during this period.The only significant difference observed was a higher percentage of patients reporting pain improvement following hydrocortisone tert-butylacetate versus placebo at 2-week follow-up; differences at subsequent follow-up time points were not significant. Additionally, all other... Read More »
Level 2 RCT
10%
Synopsis: 131 adult veterans diagnosed with carpal tunnel syndrome or trigger finger who were scheduled for standard open release were included in this study to evaluate the effects of minocycline on pain in comparison to a placebo.Patients were given minocycline or a placebo perioperatively and for 5 days postoperatively. The results of... Read More »
Level 1 RCT
10%
Synopsis: 39 patients with an intra-articular distal radius fracture requiring volar plate fixation were randomized to postoperative management with either splint immobilization or conventional bandaging.Patients were assessed for pain scores for the first 2 weeks after surgery, and function and wrist range of motion over the first 6 months after surgery.Tramadol use during hospitalization was also monitored. Results demonstrated no... Read More »
Conference Report
10%
Synopsis: 201 patients with dorsally displaced distal radial fractures were included in this trial to compare the outcomes of three different surgical fixation methods.Patients were randomized to closed reduction and percutaneous pinning (CRPP), non-spanning external fixation (NSEF), or open reduction and internal fixation with a volar locking plate (ORIF).Functional outcomes were measured over a 1 year follow-up period.At 1-year follow-up, all three groups demonstrated significant improvements in functional outcomes, with no significant differences between groups. The results of... Read More »
Conference Report
10%
Synopsis: 61 patients with shoulder impingement syndrome were randomized to management with either thoracic spinal manipulation (TSM) or a sham-TSM technique.Patients were administered two sessions of the allocated protocol, and assessed prior to the second session, immediately after the second session, and at 3-4 day follow-up.Outcomes included pain, functional measures, scapular kinematics, and scapular muscle electromyography. For pain and... Read More »
Author verified Level 2 RCT
10%
Synopsis: Fourteen randomized controlled trials were included in this network meta-analysis on the use of six different non-operative modalities - high-energy focused extracorporeal shockwave therapy, low-energy focused extracorporeal shockwave therapy, radial extracorporeal shockwave therapy, transcutaneous electrical nerve stimulation, therapeutic ultrasound, and ultrasound-guided needling - compared to control intervention for patients with chronic calcific tendinitis of the shoulder. Network meta-analysis indicated that the modalities which demonstrated a significantly greater reduction in pain and calcific deposit resolution relative to control were ultrasound-guided needling, radial extracorporeal shockwave therapy, and high-energy focused extracorporeal shockwave therapy. Read More »
Level 1 Meta Analysis
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