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9%
Synopsis: 87 patients with subacromial impingement were randomized to one of three treatment groups: arthroscopic acromioplasty, open acromioplasty, or to a physiotherapy program.Patients were followed-up for a minimum of 10 years after intervention, with outcomes related to subjective function (Constant score), shoulder range of motion, shoulder strength in abduction, and ultrasonic and radiographic evaluations.At final follow-up, Constant score was significant greater in the open acromioplasty compared to physical therapy alone, and range of motion in elevation was significantly greater in both the arthroscopic and open acromioplasty groups compared to the physical therapy alone. However, range of... Read More »
Level 2 RCT
9%
Synopsis: 156 patients with Dupuytren contracture of the metacarpophalangeal joint, with or without proximal interphalangeal joint involvement, were randomized to treatment with either collagenase Clostridium histolyticum (CCH) injection or percutaneous needle fasciotomy (PNF).Patients were followed-up for 2 years following treatment.Results demonstrated no significant differences between groups over 2 years in rates of correction of contractures to within 5 degrees in either MCP joints or PIP joints, as well as in rate of recurrence in either MCP joint or PIP joints. Analyses on joint... Read More »
Author verified Level 2 RCT
9%
Synopsis: 72 patients with lateral epicondylitis were randomized to treatment with either four weekly sessions of radial extracorporeal shockwave therapy or four weeks of wrist extensor splinting.Patients were assessed for outcome after 4 weeks, 12 weeks, and 24 weeks. No significant between-group... Read More »
Level 2 RCT
4%
Synopsis: This meta-analysis identified 18 randomized prospective published studies which had a total of 27,807 patients (44,684 knees).From these studies, 16,419 simultaneous bilateral total knee replacements, 10,930 unilateral total knee replacements, and 458 staged bilateral total knee replacements (that had a minimum of 3 months between operations) were identified. Results from the... Read More »
Level 1 Meta Analysis
4%
Synopsis: 42 men and women, above 45 years of age, with normal wrists were randomized to wear both a partially restricted and a highly restricted splint for 24 hours each.This study aimed to compare levels of functional impairment between these splinting techniques. The application of... Read More »
Author verified Level 2 RCT
4%
Synopsis: 40 patients with contracture following distal radius fracture were randomized to receive a dynamic splint or routine care.Over 12 weeks, firm conclusions about the difference between the two groups for passive wrist extension and Patient Rated Hand Wrist Evaluation (PRHWE) scores could not be made due to the imprecision of the estimates.The two groups also did not differ with respect to active wrist extension, flexion, radial deviation, ulnar deviation, performance, and satisfaction scores. Results have, therefore,... Read More »
Level 2 RCT
4%
Synopsis: 60 patients with distal interphalangeal joint (DIPj) active extensor lag were randomized to determine the efficacy between cast immobilization treatment using either a Quickcast orthosis to be worn 24 hours a day or a removable, low temperature thermoplastic, lever-type orthosis.After 24-28 weeks, there were no significant differences between the two groups in regard to success rate, orthosis discomfort, satisfaction with orthotic design, DIPj flexion stiffness, incidence of complications, and grip and tip-to-tip pinch strengths. However, the Quickcast... Read More »
Author verified Level 1 RCT
4%
Synopsis: 5 randomized controlled trials (RCTs), with a total of 215 patients, were included in this systematic review to determine if there are benefits to reduction and splint or cast immobilization to fractures of the fifth metacarpal neck (or more commonly known as boxer's fractures).Analysis of the included studies indicated that splint or cast immobilization yields no benefits in range of motion, strength, or any other measured outcomes when compared to soft wrap or buddy taping treatment without reduction. On the contrary,... Read More »
Level 3 Meta Analysis
4%
Synopsis: 33 adult patients with a distal radial fracture were randomized to receive either 6 weeks of structured advice from a physiotherapist supplemented with exercise, or structured advice solely.The purpose of this study was to determine whether a combination of structured advice and exercise yields better outcomes compared to structured advice alone with regards to the rehabilitation of upper limb activity.Outcomes were over a 24-week period. Findings indicated no... Read More »
Level 2 RCT
4%
Synopsis: 34 patients (40 wrists) with carpal tunnel syndrome were randomized to receive either radial extracorporeal shock wave therapy (rESWT) or sham therapy as treatment.The purpose of this study was to determine if active rESWT was associated with significant improvement in pain and paresthesia, symptom severity, and function when compared to sham therapy at 1, 4, 8, and 12 weeks post-treatment.Results demonstrated that patients in the rESWT group had significantly improved pain and function scores at all follow-up when compared to the control group. Additionally, symptom severity... Read More »
Level 2 RCT