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You are viewing the most viewed ACE Reports by Primary Care Physicians over the last 30 days in all specialties.
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6%
Synopsis:
72 patients with knee osteoarthritis were randomized to intraarticular injection with either 40mg methylprednisolone or 30m ketorolac.Patients were assessed for improvement over 6-week follow-up in numeric rating scale (NRS) pain scores, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Oxford Knee Score (OKS).Results demonstrated significant significant within-group improvement in both groups for NRS pain score and WOMAC scores. However, for OKS...
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Conference Report
4%
①
Synopsis:
12 studies were included in this meta-analysis, comparing pulsed electromagnetic field (PEMF) therapy to sham therapy for the treatment of osteoarthritis (OA).The outcomes of interest in included pain, function, and adverse events.The pooled results found significantly improved pain and function among PEMF groups compared to sham groups.More specifically, the improvement in pain and function was observed in the treatment of knee and hand OA; no significant differences were observed between PEMF and sham groups for the treatment of cervical OA. There were no...
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Level 1 Meta Analysis
4%
①
Synopsis:
192 patients with knee osteoarthritis were randomized to three weekly intraarticular injections with either platelet-rich plasma or hyaluronic acid.The focuse of the current study was outcome after 2 and 5 years following treatment.Results for clinical outcome on the International Knee Documentation Committee (IKDC) subjective score, the EuroQoL 5-dimensions (EQ-5D) and the Tegner activity scale demonstrated no significant differences between the PRP group and HA group at 2 or 5 years.Within the first 2 years of treatment, rate of reintervention, including either repeat injection therapy or surgery, was significantly lower in the PRP group compared to the HA group. However, at 5...
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Level 1 RCT
3%
②
Synopsis:
39 patients with distal radius fractures undergoing open reduction and internal fixation (ORIF) with a volar locking plate were randomized to receive 2 weeks of post-operative immobilization with a plaster splint or no immobilization.The primary outcome of interest was pain as measured on a Visual Analog Scale.Secondary outcomes included tramadol (opioid) use, DASH score, range of motion (wrist flexion-extension; forearm rotation), patient satisfaction, wrist edema and incidence of complications.Follow up was performed up to 6 months. The results from...
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Level 2 RCT
3%
Better 12-week outcome with suprascapular block vs. subacromial injection for rotator cuff treatment
②
Synopsis:
43 patients with a partial- or full-thickness rotator cuff tear were randomized to nonoperative treatment with either a suprascapular nerve block or subacromial injection.Patients were assessed for outcome on a modified Constant score at 2, 6, and 12 weeks after treatment. While no significant...
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Level 2 RCT
3%
Synopsis:
329 patients with an operative extremity fracture, or pelvic and/or acetabular fracture and required thromboprophylaxis were randomized to either low molecular weight heparin 30mg twice daily or aspirin 81mg twice daily for 90 days.Patients were followed up for bleeding events and venous thromboembolic complications.Results demonstrated no significant differences between groups in rates of either bleeding events, pulmonary embolism, or deep vein thrombosis. However, in subgroup...
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Conference Report
3%
Synopsis:
80 patients with lateral epicondylitis were randomized to injection treatment with either platelet-rich plasma or corticosteroid (triamcinolone).Patients were assessed for outcome on a visual analog scale for pain, the Disabilities of the Arm, Shoulder and Hand score, the Mayo Elbow Performance score, and grip strength after 6 weeks and 3 months. Findings demonstrated significantly...
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Conference Report
2%
②
Synopsis:
40 overhead sport athletes with pain from shoulder impingement syndrome were randomized to receive dry needling (DN) of myofascial trigger points directly into the upper trapezius muscle, or indirect DN into the infraspinatus muscle.Outcomes of interest included VAS pain score, DASH score, and pressure pain threshold; follow up was performed 3 days after the completion of treatment. Results from the...
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Level 2 RCT
1%
①
Synopsis:
Six randomized controlled trials were included in this meta-analysis evaluating the efficacy of platelet-rich plasma injections for the treatment of acute muscle injuries.Among all studies, time to return to sport was significantly shorter following PRP injection versus control treatment. In contrast, in...
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Author verified Level 1 Meta Analysis
1%
②
Synopsis:
348 patients with femoroacetabular impingement syndrome were randomized to either arthroscopic intervention or a personal hip therapy programme.Patients were assessed after 6 and 12 months (primary endpoint) using the International Hip Outcome Tool (iHOT-33; primary outcome), the EQ-5D-5L and VAS, and the SF-12 measures, and were monitored for any adverse events. A cost-utility analysis was performed using quality-adjusted life-years generated from results on the EQ-5D-5L.Results demonstrated significantly greater iHOT-33 scores at 12 months in the arthroscopy group compared to the personalized hip therapy group, and the difference exceeded the minimum clinically important difference (MCID) threshold.Secondary outcome measures did not significantly differ between groups. The cost-effectiveness of...
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Level 2 RCT