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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
4%
Synopsis: 30 patients who had suffered orthopaedic hand trauma were randomized to receive a standard rehabilitation programme or mirror therapy (MT) to determine its effect on short-term motor recovery and functional outcomes.Total active motion (TAM) and DASH scores were recorded at the end of the 3 week programs and then an additional 3 weeks post-intervention. The results suggested... Read More »
Level 2 RCT
4%
Synopsis: 26 studies were included in this meta-analysis to determine the optimal treatment for stenosing flexor tenosynovitis (trigger finger) by comparing percutaneous release (11 studies), open surgery (8 studies) and corticoid steroid injections (7 studies).The chance of success with percutaneous was 94%, compared to 92% in open release group and only 65% for steroid administration group. Open surgery and... Read More »
Conference Report
4%
Synopsis: 28 patients who had suffered a distal radial fracture (DRFs) and were undergoing occupational therapy were randomized to either perform a 6-minute repetitive wrist extension exercise protocol, or to a rest period of the same length.The purpose of this study was to assess the immediate effect of the intervention protocol on grip strength and visual analogue scale (VAS) pain scores. Results demonstrated significant... Read More »
Level 2 RCT
4%
Synopsis: 6 randomized controlled trials, including a total of 833 patients, were analyzed to evaluate the efficacy of combined parathyroid hormone (PTH) and alendronate administration in the treatment of osteoporosis.The meta-analysis assessed mean percent increases in bone mineral density (BMD) at the lumbar spine, femoral neck, total hip, and distal radius with combination therapy compared to monotherapy of PTH or teriparatide alone.Results demonstrated no significant differences between combined and monotherapy groups for percent changes in BMD of the lumbar spine, femoral neck, or total hip. Distal radius BMD... Read More »
Level 1 Meta Analysis
4%
Synopsis: Six randomized controlled trials were included in this meta-analysis which compared the effects of romosozumab to placebo, teriparatide, and alendronate in postmenopausal osteoporosis treatment.The change in bone mineral density at the lumbar spine, total hip, and femoral neck significantly favoured romosozumab versus both placebo and active controls. Fracture rates after... Read More »
Level 2 Meta Analysis
4%
Synopsis: In this crossover randomized controlled trial, 42 participants with spinal cord injury were randomized to receive vaporized cannabis containing placebo and 2.9% or 6.7% delta-9-THC during three 8-hour visits to determine if 6.7% THC was more effective for pain relief and determine the relationship of plasma cannabinoid levels and change in pain.The results from this study indicate that there was a significant decrease in burning and itching pain level measured by numeric rating pain scale of the patients receiving 6.7% THC. Adjusted relationship of... Read More »
Level 2 RCT
4%
Synopsis: 120 patients with a distal radius fracture and managed nonoperatively were randomized to three different modes of delivery for physical therapy: in-person physiotherapy, video, or an instructional leaflet.Patients were assessed for functional outcome after 6 weeks.The only significant function difference observed between any of the three groups was work-specific disability on the Disability of the Arm, Shoulder, and Hand score, favoured in the in-person physiotherapy group compared to the leaflet group. Nonetheless, overall DASH... Read More »
Conference Report
4%
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... Read More »
Author verified Level 2 RCT
4%
Synopsis: 90 patients with mild to moderate knee osteoarthritis (Kellgren-Lawrence grade I-II) were randomized to receive either a low intensity, long duration ultrasound device or a sham ultrasound device.Treatment was administered daily for 6 weeks.Outcome measures included pain on a numeric rating score (NRS pain), pain, stiffness, and function scales of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion in flexion and extension, and strength in flexion, extension, and rotation.Results after 6 weeks demonstrated significantly greater improvement from baseline in the US group compared to the sham group for NRS pain, WOMAC pain, WOMAC stiffness, and WOMAC function scales. Differences between groups... Read More »
Level 1 RCT