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Synopsis: 92 patients with acute mid-shaft humeral fractures, scheduled for ORIF with a locked intramedullary nailing within 2 weeks of injury, were randomized to be fixed by antegrade or retrograde technique.Patients were followed-up for a minimum of 14 months and assessed for outcomes of fracture healing, time to healing, functional recovery, time to functional recovery, and complications experienced.Antegrade and retrograde nailing were equally effective in terms of healing rate and eventual functional recovery. Antegrade nailing resulted... Read More »
Level 2 RCT
4%
Synopsis: 14 studies (n=727; 6 RCTs; 2 quasi-randomized trials; 2 prospective comparative studies and 4 retrospective comparative studies) comparing dynamic compression plating versus locked intramedullary nailing in the treatment of humeral shaft fractures were included in this review.The purpose of this study was to compare these two surgical approaches with respect to rates of complication and revision.Meta-analysis of outcomes indicated that although the incidences of infection and nerve palsy were significantly higher in the plate group compared to the nail group, the total incidence of complications (including shoulder impairment) significantly favoured the plate group. There was no... Read More »
Level 3 Meta Analysis
4%
Synopsis: Twenty-two patients with chronic patellar tendinopathy were randomized to receive either an autologous blood injection (ABI) or saline injection to the patellar tendon.Participants were followed-up for 12 months thereafter using the McGill Pain Questionnaire and Victorian Institute of Sport Assessment (VISA) scale. Both the ABI... Read More »
Conference Report
4%
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
4%
Synopsis: 90 patients with olecranon bursitis were randomized to undergo treatment with either a compression bandage and an NSAID, aspiration and a steroid injection, or aspiration alone.The study was conducted in order to evaluate which treatment method demonstrated the highest rate of symptomatic resolution, which method demonstrated earliest resolution, and which factors were associated with failed treatment.Findings demonstrated similar rates of resolution between groups after 4 weeks, though resolution was achieved significantly faster in the aspiration and steroid injection group compared to the other two groups.Additionally, a longer duration of symptoms prior to treatment was significantly associated with treatment failure. Pain symptoms were... Read More »
Author verified Level 2 RCT
4%
Synopsis: 83 patients with plantar fasciitis were randomized to one of the three following physiotherapy interventions for the purpose of comparing pain, disability, and balance outcomes after 8 weeks: (1) stretching and exercise of hip and foot muscles, (2) stretching and exercises of foot muscles only, and (3) stretching of foot muscles only.Outcomes of interest included a VAS scale for pain, the Foot and Ankle Outcome Score (FAOS), the Star Excursion Balance test (SEBT).Results demonstrated that patients in all study groups significantly improved in all outcomes of interest after completion of eight weeks of allocated therapy. However, no significant... Read More »
Author verified Level 2 RCT
4%
Synopsis: 151 patients with shoulder stiffness were randomized to an intraarticular injection of either 40mg or 20mg triamcinolone acetonide (TA).The purpose of this study was to evaluate if high-dose TA demonstrated a significantly greater post-injection range of motion compared to low-dose TA.Average follow-up length was 17.6 months in the 40mg group and 18.1 months in the 20mg group.Results demonstrated significant within-group increases in forward flexion, external rotation, and internal rotation in both groups, with no significant between-group differences. In patients with... Read More »
Level 1 RCT
4%
Synopsis: 41 patients with multidirectional instability of the shoulder were randomized to receive rehabilitation with either 12 weeks of the Watson program, which included scapular retraining exercises prior to strengthening exercises, or the Rockwood program.Patients were assessed at 6, 12, and 24 weeks after study initiation for outcome on functional scores, satisfaction, strength, dislocation rate, and adverse event rate.Results on the Western Ontario Shoulder Index significantly favoured the Watson program group after 12 and 24 weeks, and results on the Melbourne Instability Shoulder Score significantly favoured the Watson program group after 24 weeks. Dislocation was recorded... Read More »
RCT
4%
Synopsis: 25 patients with carpal tunnel syndrome were randomized to treatment with either a single session of radial extracorporeal shockwave therapy or a single corticosteroid injection.Primary outcome was the Boston Carpal Tunnel Questionnaire, including both the Symptoms and Functional scores.Patients were assessed at 1, 4, 12, and 24 weeks after treatment.Within-group reductions from baseline in BCTQ scores were significant from 4 weeks to 24 weeks in the rESWT group, in contrast to only 1 week to 4 weeks in the corticosteroid injection group. The reduction in... Read More »
Author verified Level 2 RCT
4%
Synopsis: 50 patients with plantar fasciitis were randomized to a 4-week stretching protocol consisting of either simultaneous Achilles tendon and plantar fascia stretching or Achilles tendon stretching alone.Patients were assessed for outcomes related to pain, pressure pain threshold, ankle range of motion, and functional disability after 4 weeks. The results demonstrated... Read More »
Level 2 RCT