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6%
Synopsis: Thirty-nine patients with stage II tibialis posterior tendon dysfunction were randomized to receive either strengthening or stretching exercise in conjunction with wearing an orthosis.The purpose of the study was to compare the efficacy of both exercise strategies, with orthotic use, for the treatment of this pathology.The results of this study indicated that both groups displayed improvements in pain and function over the 12 week study period, with some indication of larger gains in the strengthening group. Nevertheless, no major... Read More »
Author verified Level 2 RCT
6%
Synopsis: Two thousand, three hundred and nine paediatric patients presenting to the emergency department with an extremity injury requiring imaging were included in this study comparing the interpretation of radiographs by the emergency department physician and the official radiology report.The primary outcome of interest was the frequency and type of clinically significant discordant radiograph interpretations.Variables associated with the outcome of a clinically significant discordant radiograph interpretation were identified.Results revealed that 7.8% of radiographic interpretations by the emergency room physician were clinically significantly discordant with the result of the official radiology report.The odds of a discordant interpretation were significantly higher if the injury was in the region of the joint vs. another location, or... Read More »
Conference Report
3%
Synopsis: 36 patients with stage I or II tibialis posterior tendinopathy were randomized to early non-surgical management using one of three treatment options - all including the use of orthoses.The first group combined orthoses with eccentric resistive exercises, the second group combined it with concentric resistive exercises, and the final group served as a control group, combining othoses with stretching. Results indicated that... Read More »
Level 2 RCT
3%
Synopsis: 16 patients with Pipkin Type 1 fractures were randomized to receive treatment by either closed reduction (conservative group) or closed reduction followed by fragment excision (surgical group). The results of the study indicated that the surgical group had significantly better Merle d\'Aubigne and Postel scores in comparison to the conservative group. Read More »
Level 2 RCT
3%
Synopsis: 40 patients presenting with non-insertional Achilles tendinopathy were randomized to receive standard physical therapy with or without topical glyceryl trinitrate (GTN) treatment.Follow-up at 6 months indicated both groups made significant improvements; however, there were no differences between groups for ankle osteoarthritis scale (AOS) scores. There were also... Read More »
Level 2 RCT
3%
Synopsis: 110 patients, with or without diabetes, presenting with trigger digits were randomized to either receive treatment with a NSAID injection or corticosteroid injection.The results indicate that, although the corticosteroid injection provided patients with faster relief, at 3 months there was no significant difference between the two treatment groups. As well, there... Read More »
Level 2 RCT
3%
Synopsis: 83 patients with acute, complete dislocations of the acromioclavicular (AC) joint were randomized to receive operative treatment or non-operative treatment.Although joint reduction was restored with operative treatment, the non-operative treatment group achieved significantly better early outcome scores, but this difference was lost at the final follow-up. By the end... Read More »
Conference Report
3%
Synopsis: 83 patients with acute, complete dislocations of the acromioclavicular (AC) joint were randomized to undergo operative repair with hook plate fixation or non-operative treatment.The results of this study indicate that the non-operative group achieved significantly better early outcomes scores; however, these differences were lost at the final follow-up. By the 2... Read More »
Conference Report
3%
Synopsis: 121 young, active adults with acute anterior cruciate ligament tears were assigned to either rehabilitation with early ACL reconstruction surgery or a rehabilitation program with the option of delayed ACL reconstruction.After 5 years, no differences were found in patient reported and radiographic arthritis outcomes between the two groups. Read More »
Author verified Level 2 RCT
3%
Synopsis: One hundred and eight patients with knee pain and a degenerative horizontal tear of the posterior horn of the medial meniscus were randomized to be treated either with arthroscopic meniscectomy or conservative treatment (strength training).The aim of the trial was to evaluate if the surgical procedure provided superior clinical outcomes, measured by Visual Analog Scale (VAS) pain, Lysholm knee score, Tegner activity scale, patient subjective knee pain and satisfaction. After 2 years... Read More »
Level 2 RCT