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Synopsis: Two hundred and seven studies with 32959 participants were analyzed in this network meta-analysis.The aim of this study was to compare outpatient treatments for managing acute pain from non-low back musculoskeletal injuries.Results revealed that the treatment with the greatest benefit was using topical nonsteroidal anti-inflammatory agents (NSAIDs).Afterwards, oral NSAIDs were beneficial which was followed by acetiminophen with or without diclofenac.The benefits included relieving pain 1-7 days, as well physical functioning , and symptom relief. Moreover, topical NSAIDs demonstrated increase in treatment satisfaction. Fentanyl and acetaminophen... Read More »
Meta Analysis
5%
Synopsis: Findings of two randomized controlled trials were pooled in order to investigate if method of corticosteroid injection - either image-guided or anatomical landmark guided (blind) - impacted clinical outcome in patients suffering from shoulder pain.Clinical outcomes of pain and function were reported at 6 weeks, and the incidences of adverse events were recorded.Pooled effects illustrated that pain and function at 6 weeks were significantly improved with image-guided injections compared to blind injections. Incidence of adverse... Read More »
Level 1 Meta Analysis
5%
Synopsis: One hundred and ninety-nine children, under 18 years of age, with a displaced forearm fracture of the radius, ulna, or both, who required closed reduction and immobilization were randomly assigned into 1 of 2 postoperative treatment groups to receive either a plaster of Paris or synthetic cast to test the efficacy and safety of each treatment.Results indicated that patients who received synthetic casts were less likely to experience complications following cast application. Patients in the... Read More »
Level 2 RCT
5%
Synopsis: 100 children under 16 years of age with a closed fracture of the forearm were randomly assigned into 1 of 2 treatment groups to compare the safety and fracture stability of split circumferential synthetic semi-rigid casting to closed casting 4-6 weeks after intervention.No compartment syndrome occurrences were observed in either treatment group at final follow up, but moderate skin breakdown occurred in two patients (one in each group). Secondary displacement of... Read More »
Author verified Level 2 RCT
5%
Synopsis: 7 randomized controlled studies were included in this systematic review and meta-analysis to compare surgical and conservative approaches for shoulder impingement.This study found that the pain relief offered by both treatments were similar and effective. However, cost was... Read More »
Level 1 Meta Analysis
5%
Synopsis: 54 patients undergoing anatomic triple-bundle anterior cruciate ligament reconstruction (ACLR) were randomized to receive either the TightRope (Arthrex) fixation device or the EndoButton-CL (Smith & Nephew) fixation device.The purpose of this study was to determine the difference between groups in the frequency of failing to fix the device on the femoral cortex on either the first attempt, or an additional two more trials at turning the button. Results demonstrated a... Read More »
Conference Report
5%
Synopsis: 8 randomized controlled trials (1100 patients/fractures) comparing bipolar and unipolar hemiarthroplasty in elderly patients with femoral neck fractures were included in this study.The purpose of this meta-analysis was to compare the two surgical treatments in terms of clinical and functional outcomes. The results displayed... Read More »
Level 1 Meta Analysis
5%
Synopsis: 50 patients with subacromial impingement syndrome were included in this randomized crossover study to evaluate if the ordering of scapulohumeral strengthening exercises and scapular stabilization exercises effects pain, functional, and satisfaction outcomes.The findings of this report indicated comparable pain, function, and patient satisfaction in patients regardless of the sequence in which exercises were performed.Both groups demonstrated significant improvements in pain, function, and patient satisfaction over the course of the study. Read More »
Author verified Level 2 RCT
5%
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
5%
Synopsis: 83 patients with plantar fasciitis were randomized to one of the three following physiotherapy interventions for the purpose of comparing pain, disability, and balance outcomes after 8 weeks: (1) stretching and exercise of hip and foot muscles, (2) stretching and exercises of foot muscles only, and (3) stretching of foot muscles only.Outcomes of interest included a VAS scale for pain, the Foot and Ankle Outcome Score (FAOS), the Star Excursion Balance test (SEBT).Results demonstrated that patients in all study groups significantly improved in all outcomes of interest after completion of eight weeks of allocated therapy. However, no significant... Read More »
Author verified Level 2 RCT