Loading...
Visit our Evidence-Based Covid-19 Website and Stay Up to Date with the latest Research.
To focus on specific sub specialties check/uncheck boxes on left
24%
21%
17%
17%
7%
7%
3%
3%
Displaying
100%
14%
Synopsis: 62 elderly patients with acute complex proximal humeral fracture were randomized to either undergo reverse shoulder arthroplasty (RSA) or hemiarthroplasty.This study aimed to compare the short-term outcomes of both operative fixation methods in terms of pain and function.Results revealed that the RSA group had significantly better mean University of California Los Angeles (UCLA) score, Constant score, and range of forward elevation and abduction than the HA group.It was noted that HA patients had a significantly higher Disabilities of the Arm, Shoulder, and Hand score and six HA patients had proximal migration and needed revision to RSA.Furthermore, complications reported in both groups were comparable. Further long-term evaluations... Read More »
Author verified Level 2 RCT
14%
Synopsis: 56 patients with a degenerative, full-thickness rotator cuff tear were randomly assigned to receive either conservative treatment or mini-open repair in order to compare outcomes between treatment methods.Follow-up was performed for 12 months post-intervention.No significant differences were observed between overall groups in any outcome measure.In a subgroup analysis of the few patients with an intact rotator cuff (successful surgical repair/no re-tear), significantly better Constant-Murley score (CMS), Visual analogue scale (VAS) pain and VAS disability scores were noted compared to the conservative group.Nonetheless, the re-tear rate was high following mini-open repair in this study (~75%). Read More »
Level 2 RCT
14%
Synopsis: 73 patients with rotator cuff tendinopathy were randomized to one of three study treatment groups: (1) hypertonic dextrose prolotherapy injection directly to affected entheses, (2) saline injection directly to affected entheses, or (3) saline injection superficial to affected entheses.The purpose of this study was to investigate the clinical benefits of dextrose prolotherapy when compared to control groups by observing improved patient-reported pain scores, patient satisfaction scores, and ultrasound grading of regenerative effect. Results demonstrated that... Read More »
Author verified Level 2 RCT
14%
Synopsis: Three randomized controlled trials were selected for meta-analysis investigating the comparative effects of repair and conservative treatment for rotator cuff tears.Pain and function, assessed on the Constant score, were assessed at 1-year follow-up.Results demonstrated a significantly greater reduction in pain among operative treatment groups compared to conservative treatment; change in function after 1 year did not significantly differ between groups. Differences between groups... Read More »
Author verified Level 2 Meta Analysis
14%
Synopsis: 80 patients with elbow tendinopathy and scheduled for needle tenotomy were randomized to adjuvant intratendinous injection or either platelet-rich plasma or lidocaine.Intratendinous injections were performed within areas of hypoechogenicity observed during ultrasound-guided tenotomy.Primary outcomes were the proportion of patients who demonstrated minimum reductions of 25% from baseline in the Disabilities of the Arm, Shoulder, and Hand (DASH) and pain on a visual analog scale (VAS). Results demonstrated no... Read More »
Level 2 RCT
14%
Synopsis: 84 adult patients with symptomatic isolated interstitial supraspinatus tears were randomized to receive infiltration with platelet rich plasma (PRP) or normal saline.A total of two injections were administered separated by 1 month.The primary outcome of interest was the change in lesion volume.Secondary outcomes of interest included pain on a Visual Analog Scale (VAS), the Single Assessment Numerical Evaluation (SANE), Constant score, the American Shoulder and Elbow Surgeons (ASES) score, the incidence of adverse events and the performance of surgical repair.Follow up was performed at 7 and 12 months after the first injection.Results revealed no significant differences between the PRP and control groups in the change in lesion volume, VAS pain, SANE score, Constant score, and ASES score.The incidence of adverse events was significantly higher in the PRP group. No significant difference... Read More »
Level 1 RCT
14%
Synopsis: Thirty-one patients with chronic supraspinatus tendinopathy were randomized to receive an injection into the supraspinatus tendon insertion site with either 5mL hypertonic dextrose or normal saline.The primary outcomes of interest were pain as measured on a Visual Analog Scale (VAS) and the Shoulder Pain and Disability index (SPADI).Secondary outcomes of interest included range of motion, supraspinatus thickness and echogenicity.Follow up was performed 2 weeks and 6 weeks post-injection.The results of the study revealed significantly favourable VAS pain scores, SPADI scores, range of motion in flexion and range of motion in abduction in the dextrose group compared to the placebo group 2 weeks after injection. No significant differences... Read More »
Level 1 RCT
  • «
  • 1
  • »