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74%
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100%
15%
Pain, function, and QoL similar between tenodesis and tenotomy for LHBT lesions
②
Synopsis: 69 patients with a long head of the biceps tendon lesion and full-thickness supraspinatus tear were randomized to management of the LHBT lesion through either tenodesis or tenotomy.Patients were assessed over 24-month follow-up for function as the primary outcome, as well as pain, quality of life, range of motion, strength, cosmesis, tendon integrity on ultrasound, and complication rate as secondary outcomes.Constant-Murley scores did not significantly differ between groups at 6 months or 24 months. Secondary outcomes also... Read More »
Level 2 RCT
10%
No difference in pain or function between abduction brace and sling after rotator cuff repair
②
Synopsis: 44 patients scheduled for arthroscopic rotator cuff repair were randomized to 6-weeks postoperative immobilization with either an abduction brace or an antirotation sling.Patients were assessed for pain, function on the Constant Murley score and Western Ontario Rotator Cuff Index (WORC), glenohumeral range of motion, and retear on ultrasound out to 6 months or 1 year after surgery.No significant differences between groups at any time point were observed for VAS, CM score, WORC score, or range of motion. No retears in... Read More »
Level 2 RCT
10%
AAOS2018: PRP versus corticosteroid injection for carpometacarpal joint osteoarthritis
Synopsis: 33 patients with trapeziometacarpal osteoarthritis were randomized to two intraarticular injections of either platelet-rich plasma or corticosteroid.Patients were assessed for pain on a visual analog scale after 3 months and 12 months. Results demonstrated a... Read More »
Conference Report
5%
Early aggressive rehabilitation outcomes following arthroscopic rotator cuff repair
②
Synopsis: A total of 64 shoulders, that had undergone arthroscopic rotator cuff repair, were randomized to compare the results of an early, aggressive, passive rehabilitation program with an early limited passive rehabilitation program.Results from a 3 month follow-up indicated that the aggressive program resulted in a greater improvement in ROM and in some clinical outcomes compared to the control group. However, these differences... Read More »
Level 2 RCT
5%
Oral supplement improves repair integrity and reduces pain after rotator cuff repair
②
Synopsis: 90 patients with large, postero-superior rotator cuff tears were randomized to receive a supplement (containing arginine L-alpha-ketoglutarate, methylsulfonylmethane, hydrolyzed type I collagen and bromelain) or no supplement.Over 12 months, there was no difference between the two groups for clinical scores, rate of re-rupture, and fatty degeneration grade.However, the supplement group experienced significantly less shoulder pain than the control group at 6 months. Additionally, a larger... Read More »
Level 2 RCT
5%
Achilles tendinopathy: Dietary supplementation improves extracorporeal shockwave efficacy
②
Synopsis: 64 patients with insertional Achilles tendinopathy were randomized to receive extracorporeal shockwave therapy (ESWT) and an arginine supplement or ESWT and a placebo.Although there was no difference between the two groups for pain at 2 months, the supplement group demonstrated lower pain scores than the control group at 6 months.The supplement group was also superior to the control group at 2 and 6 months for mean Ankle-Hindfoot Scale scores and Roles and Maudsley scores. At 6 months,... Read More »
Author verified Level 2 RCT
5%
Home-based therapy in rotator cuff tear performs comparably to formal occupational therapy
②
Synopsis: 43 patients with rotator cuff tears were randomized to compare the efficacy of home-based exercise therapy against formal occupational therapy, over 2 months.Outcomes measured included Pain intensity (VAS), Constant-Murley score, shoulder ROM, clinical signs of impingement, as well as strength of abduction/adduction and rotation.The evidence presented in this study indicated that home-based therapy performed comparably against occupational therapy. Patients in the... Read More »
Author verified Level 2 RCT
5%
Preoperative gabapentin improves pain following arthrscopic rotator cuff repair
①
Synopsis: 52 patients undergoing arthroscopic rotator cuff repair were randomized to receive either 300 mg of gabapentin or a placebo two hours prior to surgery.Up to 12 hours, pain in the low dose gabapentin group was significantly lower than pain experienced in the placebo group. Side effects and... Read More »
Level 1 RCT
5%
Early passive motion improves shoulder flexion following arthroscopic rotator cuff repair
②
Synopsis: This meta-analysis included 5 level II randomized control trials that compared early passive motion to sling immobilization following arthroscopic rotator cuff repair.The aim of this study was to analyze retear rates and range of motion between groups.Results from this analysis indicated that early passive motion significantly improves shoulder flexion at 3, 6, and 12 months postoperatively, while retear rates do not differ significantly between groups at the 1 year follow-up. Read More »
Author verified Level 2 Meta Analysis
5%
Early motion versus sling immobilization after mini-open rotator cuff repair
②
Synopsis: 189 patients with a full-thickness rotator cuff tear and scheduled for mini-open repair were randomized to either early mobilization or 6-week sling immobilization postoperatively.The purpose of this study was to compare shoulder range of motion, pain, and disease-specific quality of life over a follow-up period of 24-months.The results demonstrated no significant differences between groups in outcomes of interest, with the exception of significantly greater abduction and scapular plane elevation in the early mobilization group compared to the sling immobilization group at 6-weeks. There were no... Read More »
Author verified Level 2 RCT