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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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②
Synopsis:
60 patients with an acute anterior shoulder dislocation were randomized to either physician-guided self-reduction using the Boss-Holzach-Matter technique, or to physician-administered reduction using the Spaso technique.Patients were assessed for pain severity experienced during reduction and for the rate of successful reduction.Results demonstrated significantly lower patient-rated pain during reduction using the self-administered Boss-Holzach-Matter technique in comparison to the physician-administered Spaso technique. The rate of...
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Author verified Level 2 RCT
2%
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Synopsis:
53 patients with primary adhesive capsulitis (frozen shoulder) were randomized to manipulation under anesthesia (MUA) or steroid injection combined with shoulder distension.The most efficacious treatment for frozen shoulder is still controversial topic; therefore, this study assessed two common treatments to determine the superior treatment.The results indicated that at 2 year follow-up, there were no differences in pain and functional outcomes between the two groups. The authors advised...
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Level 2 RCT
2%
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Synopsis:
125 patients with frozen shoulder were randomised to undergo one of two treatments.The first group had manipulation under anaesthesia in addition to home exercises while the second group had home exercises alone. Results indicated that...
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Level 2 RCT
2%
Synopsis:
Six ACE Reports (5 randomized controlled trials and 1 systematic review/meta-analysis) were identified from the OrthoEvidence database which evaluated the efficacy of platelet-rich plasma in the treatment of knee osteoarthritis.All included studies were randomized controlled trials, and reported clinical and functional assessment at various time points between 1 and 6 months following treatment.Pooled analysis of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total scores suggested a possible beneficial effect with PRP injection in comparison to saline and a lower effect versus hyaluronic acid.Beneficial effects were also noted for individual subscales of the WOMAC assessment (pain, stiffness, and physical function).However, pooling of OMERACT-OARSI responders and a review of the literature indicated that there was no significant difference between PRP and comparison groups in other functional outcome measures, such as the International Knee Documentation Committee (IKDC) assessment and Knee Injury and Osteoarthritis Outcome Score (KOOS).Furthermore, contrasting results were obtained between two studies reporting function on the Lequesne Index. The discrepancy in...
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ACE Review
2%
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...
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ACE Review
2%
①
Synopsis:
8 studies (5 randomized clinical trials (RCTs) and 3 systematic reviews) were evaluated to compare the efficacy of nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, and other injections in the treatment of subacromial impingement syndrome (SIS).Results indicated that effectiveness in pain management was seen for oral ibuprofen in the short term. Promising outcomes were...
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Author verified Level 1 Meta Analysis
2%
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Synopsis:
34 patients with shoulder pain due to tendinopathy were randomized to investigate the effect and safety of interferential light therapy compared to conventional light therapy.Patients were allocated to 10 session over two weeks of either of the aforementioned interventions.Outcomes in pain and disability were measured after the two week intervention period.The results indicated that the interferential light therapy group had reduced pain specifically in abduction and external rotation, although groups did not significant differ for daily pain, nightly pain, and in flexion, extension, and internal rotation. No differences in...
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Level 2 RCT
2%
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Synopsis:
100 patients were randomized to total knee arthroplasty with either patient-specific instrumentation or conventional instrumentation.The purpose was to determine if patient-specific guides offered improved postoperative alignment over conventional methods. The results from...
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Author verified Level 2 RCT
2%
③
Synopsis:
This 16 study meta-analysis/systematic review evaluated the ability of platelet-rich plasma (PRP) to improve functional outcomes of patients suffering from knee cartilage degeneration.The aim of the study was to determine the best course of care and treatment for patients with chondral degenerative knee lesions by comparing functional outcomes before and after the use of PRP injections, HA injections, and placebo controls.Results revealed that the injection of PRP improved function and was more effective compared to HA administration. Additionally, patients with...
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Author verified Level 3 Meta Analysis
2%
Synopsis:
Seven randomized controlled trials evaluating operative and nonoperative management of Achilles tendon ruptures were included in this meta-analysis.The purpose was to determine if the two treatment options differed in functional outcome over 2 years postintervention.The results indicated that while functional outcome was significantly better following surgery at 3 months, there was no significant difference between operative and conservative management at 6, 12, and 24 months.There also was no significant difference observed between groups regarding range of motion. The incidence of...
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Conference Report