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Synopsis: 7 randomized controlled trials (RCTs) were included in this systematic review and meta-analysis comparing conservative treatment methods of intra-articular hyaluronic acid injections and corticosteroid injections.Pain scores were pooled at 2, 4, 8, 12, and 26 weeks post-injection.At early follow-up (2 weeks), treatment with corticosteroid injections resulted in lower pain when compared to treatment with hyaluronic acid injections.From 4-8 weeks, treatment displayed similar efficacy.At 12 weeks and 26 weeks, hyaluronic acid injections demonstrated significantly lower pain scores compared to corticosteroid injections. Read More »
Level 1 Meta Analysis
4%
Synopsis: 57/86 patients completed long term follow up (~11 years) in this secondary study of a randomized controlled trial comparing arthroscopic rotator cuff repair with vs.without acromioplasty.The outcomes of interest included Western Ontario Rotator Cuff score (WORC) and the rate of revision.Results revealed no significant differences between the two groups in long term WORC scores. However, the rate... Read More »
Conference Report
3%
Synopsis: Seven studies were included in this meta-analysis which aimed to determine the effect of the application of platelet-rich products (PRP) in arthroscopic rotator cuff repair.Pooled analyses of functional outcome measurements indicated no beneficial effect of PRP at a minimum of 12 months postoperatively, and overall no decrease in retear rate. However, an analysis... Read More »
Level 1 Meta Analysis
3%
Synopsis: 10 randomized or quasi-randomized controlled trials were included in this direct meta-analysis and indirect network meta-analysis comparing the results of corticosteroid injection, autologous whole blood injection (AB), and platelet-rich plasma injection (PRP) in the treatment of patients with lateral epicondylitis.The results fo this study indicated that by final follow-up, which ranged from 2-12 months post-injection, both direct and indirect analyses favoured pain and disability results with platelet-rich plasma versus corticosteroid, while only indirect analyses favoured autologous whole blood over corticosteroid. No significant differences... Read More »
Level 2 Meta Analysis
3%
Synopsis: Six studies with a total of 257 shoulders were included in this systematic review and meta-analysis comparing rotator cuff repair with vs.without autograft/allograft augmentation.The outcome of interest were functional outcome scores and retear rates with a minimum follow-up period of one year.The results of this meta-analysis found that autograft/allograft augmentation resulted in a significantly lower retear rates and an improvement in pain and functional outcomes vs. those who did... Read More »
Conference Report
1%
Synopsis: Patients were randomized to investigate the most suitable treatment for lateral epicondylitis; patients received physiotherapy, Extracorpeal Shockwave Therapy (ESWT), prolotherapy, or Platelet-Rich-Plasma (PRP) treatment. The results of the treatments at the mean 22 month follow-up indicated that prolotherapy and PRP produced better clinical outcomes than the other two groups, where PRP displayed significantly better DASH scores than the prolotherapy treatment. Read More »
Conference Report
1%
Synopsis: 4 studies (228 patients) were included in this meta-analysis which compared the outcome of anatomic Bankart repair with both arthroscopic lavage and sling immobilization for the treatment of first time anterior shoulder dislocations at a minimum of 2 years.The results indicated that recurrent instability of the shoulder was significantly reduced through the use of anatomic Bankart repair, and quality of life was improved as measured by the Western Ontario Shoulder Instability questionnaire. Patient satisfaction was... Read More »
Level 1 Meta Analysis
1%
Synopsis: Six ACE Reports (5 randomized controlled trials and 1 systematic review/meta-analysis) were identified from the OrthoEvidence database which evaluated the efficacy of platelet-rich plasma in the treatment of knee osteoarthritis.All included studies were randomized controlled trials, and reported clinical and functional assessment at various time points between 1 and 6 months following treatment.Pooled analysis of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total scores suggested a possible beneficial effect with PRP injection in comparison to saline and a lower effect versus hyaluronic acid.Beneficial effects were also noted for individual subscales of the WOMAC assessment (pain, stiffness, and physical function).However, pooling of OMERACT-OARSI responders and a review of the literature indicated that there was no significant difference between PRP and comparison groups in other functional outcome measures, such as the International Knee Documentation Committee (IKDC) assessment and Knee Injury and Osteoarthritis Outcome Score (KOOS).Furthermore, contrasting results were obtained between two studies reporting function on the Lequesne Index. The discrepancy in... Read More »
ACE Review
1%
Synopsis: Ten ACE Reports (all randomized controlled trials) were identified from the OrthoEvidence database assessing the efficacy of platelet-rich plasma (PRP) versus control in the treatment of rotator cuff tears.Result are presented for Constant scores, University of California (UCLA) scores, American Shoulder and Elbow Surgeons (ASES) scores, Simple Shoulder Test (SST) scores, Shoulder Pain and Disability Index (SPADI), Sugaya classification, and the incidence of retear.Qualitative descriptions were provided for Visual Analog Scale (VAS) pain scores and range of motion (ROM).The results indicated that PRP treatment provided favourable Constant scores and Simple Shoulder test at 12 months.Otherwise, the remaining poolable outcomes displayed similar results amongst treatment and control groups.Evaluations of ROM proposed a potential benefit of PRP in the short-term, although effects were primarily lost at longer follow-up (6-12 months).Tendon integrity and retear risk also did not appear to be improved with PRP. This review exhibited... Read More »
ACE Review
1%
Synopsis: 109 patients with traumatic shoulder dislocation were randomized to determine the effect of a shoulder motion restriction band on recurrence rates.Following reduction and immobilization in external rotation for 3 weeks, participants received either 6- or 3-week use of the restriction band, or no band use. Assessments were conducted... Read More »
Author verified Level 2 RCT