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5%
Synopsis: 6 randomized controlled trials were included in this systematic review to determine if the addition of hydrodilatation to a corticosteroid injection provides an improvement in pain-free range of motion and pain relief in patients with adhesive capsulitis.The results of this systematic review indicated that for range of motion results at 4-6 weeks, one of three studies reported a significant difference in favour of the hydrodilatation group, at 8-12 weeks, two of four studies reported a significant difference in favour of the hydrodilatation group, and at 16-24 weeks, neither of two studies reported a significant difference in favour of the hydrodilatation group. The available evidence... Read More »
Author verified Level 2 Meta Analysis
3%
Synopsis: 82 patients with symptomatic knee osteoarthritis were randomized to either treatment with a topical flaxseed oil preparation or to placebo.Patients were to apply allocated treatment three times daily for 6 weeks.The outcome measure was the Knee Injury and Osteoarthritis Outcome Score (KOOS). Improvement in each... Read More »
Level 2 RCT
2%
Synopsis: Eleven randomized controlled trials were included in this systematic review and meta-analysis which investigated the efficacy of trigger point dry needling for shoulder and upper extremity pain associated with myofascial trigger points.Two studies compared trigger point dry needling of active and latent trigger points to trigger point dry needling of active trigger points alone; meta-analysis demonstrated a greater reduction in pain and increase in pressure pain threshold among groups administered dry needling of both active and latent trigger points.Meta-analysis of these studies demonstrated no significant difference in increase in grip strength. Among the other... Read More »
Level 2 Meta Analysis
2%
Synopsis: 97 patients scheduled for total knee arthroplasty were randomized to postoperative cryotherapy through either a cold-compression system (cTreatment; Waegener) or standard cold packs.Patients were assessed at 2, 4, and 6 days postoperatively for primary outcomes of knee circumference and knee range of motion. Results after 6... Read More »
Level 2 RCT
2%
Synopsis: 9 studies (8 RCTs, 1 controlled clinical trial) were selected for a systematic review of elderly patients with a proximal humerus fracture.The goal of this study was to determine whether surgical or nonoperative treatment is the optimal intervention in patients over the age of 60.Operative treatments identified in the included trials were the tension band technique, locking plates, pinning and hemiarthroplasty.The results of this review indicated that many studies did not find a significant difference in functional outcomes when comparing locking plates or tension bands to nonoperative treatment at 1 year.There was a significantly better health-related quality of life and Euroqol-5D in patients that received a hemiarthroplasty compared to the nonoperative group for patients with 4-part fractures.Complications were common in the operative treatment groups. This study highlights... Read More »
Level 2 Meta Analysis
2%
Synopsis: 19 patients who demonstrated mechanical deficit between 6-48 months post-anterior cruciate ligament reconstruction were randomized to 8-week programs of either body weight-supported, high repetition jump training or standard body weight jump training.Patients were assessed at 4, 8, and 16 weeks for clinical scores, functional performance in a single-legged hop distance task, kinematic and kinetic parameters during a single-legged landing task, and knee joint effusion rate. The only significant... Read More »
Level 2 RCT
1%
Synopsis: Seven studies were included in this meta-analysis which aimed to determine the effect of the application of platelet-rich products (PRP) in arthroscopic rotator cuff repair.Pooled analyses of functional outcome measurements indicated no beneficial effect of PRP at a minimum of 12 months postoperatively, and overall no decrease in retear rate. However, an analysis... Read More »
Level 1 Meta Analysis
1%
Synopsis: 664 patients scheduled for total knee arthroplasty were randomized to either topical tranexamic acid or intravenous tranexamic acid.Patients were assessed for total blood loss, postoperative blood loss, and the incidence of transfusion. Results demonstrated that... Read More »
Level 2 RCT
1%
Synopsis: 50 patients scheduled for total hip arthroplasty were randomized to a multimodal analgesia regimen including either a preoperative fascia iliaca compartment block or an intraoperative psoas compartment block.Patients were assessed for pain scores and narcotic consumption over the first 3 days postoperatively, as well as patient satisfaction at 3 weeks postoperatively. Results demonstrated no... Read More »
Level 2 RCT
1%
Synopsis: 76 patients with a Rockwood type III acromioclavicular joint dislocation were randomized to either TightRope fixation or clavicular hook plate fixation.Patients were assessed over 1 year postoperatively.Constant-Murley score and coracoclavicular distance did not significantly differ between groups over the first year of follow-up.Pain scores were significantly lower in the TightRope group. However, three patients... Read More »
Level 2 RCT