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11%
Synopsis: 132 patients with mild-to-moderate, symptomatic knee osteoarthritis were randomized to a single injection of either HYA-JOINT Plus (SciVision Biotech) or Synvisc-One (Sanofi-Aventis).Patients were assessed over a 6-month follow-up for patient-reported outcome measures, functional performance measures, patient satisfaction, and rate of adverse events.Pain assessed using a visual analog scale was significantly lower in the HYA-JOINT Plus group compared to the Synvisc-One group at 1, 3, and 6 months, but pain assessed on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) did not significantly differ between groups at any point.WOMAC Stiffness score at 6 months was also significantly lower in the HYA-JOINT Plus group compared to the Synvisc-One group. All other outcomes... Read More »
Level 1 RCT
10%
Synopsis: 48 patients with calcific tendinitis of the rotator cuff were randomized to an ultrasound-guided subacromial corticosteroid injection (SAIC) injection with or without additional ultrasound-guided barbotage.Patients were assessed for functional scores and rate of secondary intervention (barbotage or surgery) over 5-year follow-up. Results demonstrated a... Read More »
Level 1 RCT
6%
Synopsis: 22 randomized controlled trials were included in this network meta-analysis, that included over 10 injectable treatments, to evaluate comparative efficacy for the management of plantar faciopathy.The primary outcome of this study was pain relief.At 0-2 month follow-up, micronized dehydrated human amniotic/chorionic membrane was the most likely treatment to be effective for pain relief.At 2-6 months, botulinum toxin A was the treatment most likely to be effective for pain relief, while a treatment most likely to be effective beyond 12 months could not be identified from the limited amount of evidence available at this time point.The lack of trials available was a limiting factor of this network meta-analysis, exemplified by the lack of studies reporting data on micronized dehydrated human amniotic/chorionic membrane beyond 2 months. Further trials are... Read More »
Level 1 Meta Analysis
5%
Synopsis: 143 patients with symptomatic subacromial impingement were randomized to a supervised exercise program with the addition of either radial extracorporeal shockwave therapy (rESWT) or sham rESWT.Patients were assessed for outcome on the Shoulder Pain and Disability Index (SPADI), pain at rest, and pain during activity. In analysis of all patients, there were no significant between-group differences for any outcome measure. In the subgroup... Read More »
Level 1 RCT
4%
Synopsis: 36 patients diagnosed with rotator cuff tendinopathy were included in this trial to compare the efficacy of 12-week eccentric and conventional exercise programs.Outcomes were evaluated over a 26-week follow-up period and included shoulder function evaluated using the Constant-Murley score, pain, range of motion, and shoulder strength.Both groups demonstrated significant improvements in shoulder function and pain from baseline over the 26-week follow-up.There were no significant differences between the two exercise programs over the 26-week follow-up, indicating that eccentric exercises are an effective form of exercise therapy for rotator cuff tendinopathy.Larger randomized controlled trials are needed to corroborate the findings of this trial. Read More »
Level 2 RCT
4%
Synopsis: 60 patients requiring anterior cruciate ligament (ACL) reconstruction were randomized to either double-bundle reconstruction or single-bundle reconstruction.Patients were assessed for instrumented anteroposterior knee laxity (KT-2000), subjective function, objective functional performance on hop tests, and osteoarthritis development over 6-year follow-up.Results demonstrated no significant differences in any outcome measure between the two groups. One case of... Read More »
Level 2 RCT
2%
Synopsis: 68 patients who had undergone arthroscopic repair of a full-thickness rotator cuff tear were randomized to either active or placebo transcutaneous electrical nerve stimulation.(TENS).Patients were to self-administer the allocated treatment 4 times per day for the first 7 days after surgery.Outcome measures included pain scores, percocet consumption, compliance, and device-related complications.The active TENS group demonstrated significantly lower pain scores at 12 hours after surgery and on postoperative 7, though non-significant differences between groups were noted at time points in between (36h, 48h, POD 3-6).Percocet consumption was also significant lower in the active TENS group at 12 hours after surgery and at postoperative day 7. Read More »
Level 2 RCT
2%
Synopsis: 192 patients with symptomatic, unilateral degenerative knee pathology were randomized to intraarticular injections of either leukocyte-rich platelet-rich plasma or high-molecular-weight hyaluronic acid.Injections were administered once weekly for 3 weeks.Outcomes reported included clinical scores and the incidence of need for re-intervention at the index knee over a 24-month follow-up.Clinical scores were similar between groups, with both groups demonstrating significant improvements in IKDC within 12 months. The PRP group... Read More »
Conference Report
2%
Synopsis: 91 patients scheduled for ACL reconstruction and with a concurrent stable ramp lesion of the meniscus were randomized to repair or abrasion/trephination of the ramp lesion.Patients were followed for a minimum of 2 years for functional outcome, including Lysholm score and International Knee Documentation Committee (IKDC) subjective score, knee stability results, and lesion healing assessed on MRI. Results demonstrated no... Read More »
Author verified Level 2 RCT
2%
Synopsis: 165 patients with trigger finger were randomized to open release of the A1 pulley or to treatment with a corticosteroid injection.Patients were assessed for reduction in Trigger Finger Score grade to either I or IIa, representing normal movement of the finger.Follow-up was performed at 3 and 12 months after treatment.At both 3 and 12 months, the open release group demonstrated a higher percentage of patients with a Trigger Finger Score of I or IIa when compared to the corticosteroid injection group. Within the corticosteroid... Read More »
Author verified Level 2 RCT