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Synopsis: 73 patients with rotator cuff tendinopathy were randomized to one of three study treatment groups: (1) hypertonic dextrose prolotherapy injection directly to affected entheses, (2) saline injection directly to affected entheses, or (3) saline injection superficial to affected entheses.The purpose of this study was to investigate the clinical benefits of dextrose prolotherapy when compared to control groups by observing improved patient-reported pain scores, patient satisfaction scores, and ultrasound grading of regenerative effect. Results demonstrated that... Read More »
Author verified Level 2 RCT
6%
Synopsis: 28 patients with chronic lateral epicondylitis were randomized to receive treatment with either a single injection of 3mL autologous blood or 3mL of platelet rich plasma (PRP) under ultrasound guidance.Patients who received PRP displayed greater VAS pain score improvement at all follow-up visits; however, significance was only observed at 6 week follow up. Additionally, it was... Read More »
Author verified Level 2 RCT
6%
Synopsis: 49 subjects (>50 yr old) with knee osteoarthritis (OA) were randomly assigned to participate in the target matching foot stepping exercise (TMFSE) while sitting, or to no intervention for 6 weeks. TMFSE demonstrated beneficial effects in improving function and walking velocities in patients with mild to moderate knee OA. Read More »
Level 2 RCT
6%
Synopsis: 24 patients with first-time traumatic patella dislocations were randomised to receive either surgical or conservative treatment in order to compare the efficacy of each treatment method.Following assessments over a 24 month period, the results displayed that slightly better Kujala scores and re-dislocation rates were obtained from operative treatment, but the differences between the treatment methods were not significant. The lack of... Read More »
Author verified Level 2 RCT
6%
Synopsis: Ten ACE Reports (all randomized controlled trials) were identified from the OrthoEvidence database assessing the efficacy of platelet-rich plasma (PRP) versus control in the treatment of rotator cuff tears.Result are presented for Constant scores, University of California (UCLA) scores, American Shoulder and Elbow Surgeons (ASES) scores, Simple Shoulder Test (SST) scores, Shoulder Pain and Disability Index (SPADI), Sugaya classification, and the incidence of retear.Qualitative descriptions were provided for Visual Analog Scale (VAS) pain scores and range of motion (ROM).The results indicated that PRP treatment provided favourable Constant scores and Simple Shoulder test at 12 months.Otherwise, the remaining poolable outcomes displayed similar results amongst treatment and control groups.Evaluations of ROM proposed a potential benefit of PRP in the short-term, although effects were primarily lost at longer follow-up (6-12 months).Tendon integrity and retear risk also did not appear to be improved with PRP. This review exhibited... Read More »
ACE Review
6%
Synopsis: This systematic review identified 25 studies which assessed the effects of intra-articular corticosteroid injections, as well as the effects of image-guided corticosteroid injections, for the treatment of adhesive capsulitis.A total of 1,429 patients were identified from the 25 studies, and were followed up between 1 to 44 months.Results from the review indicated that corticosteroid injections offer rapid pain relief in the short term, as well as increased range of motion, however long-term effects are similar to other treatments, including placebo. No conclusions could... Read More »
Level 3 Meta Analysis
6%
Synopsis: 90 patients with olecranon bursitis were randomized to undergo treatment with either a compression bandage and an NSAID, aspiration and a steroid injection, or aspiration alone.The study was conducted in order to evaluate which treatment method demonstrated the highest rate of symptomatic resolution, which method demonstrated earliest resolution, and which factors were associated with failed treatment.Findings demonstrated similar rates of resolution between groups after 4 weeks, though resolution was achieved significantly faster in the aspiration and steroid injection group compared to the other two groups.Additionally, a longer duration of symptoms prior to treatment was significantly associated with treatment failure. Pain symptoms were... Read More »
Author verified Level 2 RCT
6%
Synopsis: 126 patients with idiopathic adhesive capsultitis were randomized to intra-articular glenohumeral corticosteroid injection, subacromial corticosteroid injection, or a combination of both intra-articular and subacromial corticosteroid injection.The purpose of this study was to determine if a combined injection strategy offered better patient-reported clinical outcomes when compared to intra-articular injection alone or subacromial injection alone. American Shoulder and... Read More »
Level 2 RCT
6%
Synopsis: 10 randomized or quasi-randomized controlled trials were included in this direct meta-analysis and indirect network meta-analysis comparing the results of corticosteroid injection, autologous whole blood injection (AB), and platelet-rich plasma injection (PRP) in the treatment of patients with lateral epicondylitis.The results fo this study indicated that by final follow-up, which ranged from 2-12 months post-injection, both direct and indirect analyses favoured pain and disability results with platelet-rich plasma versus corticosteroid, while only indirect analyses favoured autologous whole blood over corticosteroid. No significant differences... Read More »
Level 2 Meta Analysis
6%
Synopsis: 70 patients scheduled for shoulder arthroplasty were randomized to postoperative analgesia through either the use of a preoperative single-shot interscalene block followed by intraoperative liposomal bupivacaine injection, or continuous interscalene block postoperatively.Primary outcomes were pain scores and narcotic consumption over the first 24 hours postoperatively. Though no significant... Read More »
Level 2 RCT