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Synopsis: 39 patients with distal radius fractures undergoing open reduction and internal fixation (ORIF) with a volar locking plate were randomized to receive 2 weeks of post-operative immobilization with a plaster splint or no immobilization.The primary outcome of interest was pain as measured on a Visual Analog Scale.Secondary outcomes included tramadol (opioid) use, DASH score, range of motion (wrist flexion-extension; forearm rotation), patient satisfaction, wrist edema and incidence of complications.Follow up was performed up to 6 months. The results from... Read More »
Level 2 RCT
5%
Synopsis: This meta-analysis and systematic review included 193 studies (84 randomized controlled trials were assessed in the meta-analysis) comparing physical therapy to a control group in patients with knee osteoarthritis (OA).The most effective interventions were ultrasonography, and aerobic, aquatic, strengthening, and proprioception exercise.Education, orthotics, taping, tai chi, and pulsed electromagnetic fields had no clinically significant effect on any of the patient-centered or functional outcomes of interest. Few adverse events... Read More »
Author verified Level 1 Meta Analysis
5%
Synopsis: 60 patients with dominant-hand thumb carpometacarpal osteoarthritis (OA) were randomized into two groups to measure the effects of either radial nerve mobilization treatment or a nontherapeutic placebo treatment on pain sensitivity and pinch strength. At 2 months follow-up, patients who underwent radial nerve mobilization experienced a decrease in pain sensitivity in the trapeziometacarpal joint and an increase in tip and tripod pinch strength. Read More »
Author verified Level 2 RCT
5%
Synopsis: 59 patients (>18 years of age) who were diagnosed with mallet finger (with or without fracture) and who had undergone continuous splint/cast immobilization and hyper-extension intervention (6-8 weeks), were randomly assigned into 1 of 2 treatment groups to determine the effect of an additional one month of night splinting on extensor lag.Participants either received an additional one month intervention with a night splint following their continuous splinting period or received no additional intervention (control). Results from the... Read More »
Author verified Level 2 RCT
5%
Synopsis: 27 randomized and quasi-randomized trials that investigated safety outcomes in patients undergoing either endoscopic or open carpal tunnel release for carpal tunnel syndrome were included in this meta-analysis.The study was conducted to determine whether earlier concerns regarding the safety of endoscopic release in comparison to an open approach were still applicable presently.The study found that previous drawbacks of an endoscopic release such as high reoccurrence and reoperation rates have been gradually lessened to where they are now comparable with rates in an open approach.Total and major complications are also comparable between groups, whereas minor occurrences were significantly less frequent following endoscopic release. Return to activity... Read More »
Author verified Level 1 Meta Analysis
5%
Synopsis: Six randomized controlled trials (231 patients) were included in this analysis comparing short-term pain and functional outcome between a specific exercise program and general exercise program in the management of patients with subacromial impingement syndrome.Compiling data at 4-8 week follow-up, results demonstrated no significant differences between the two strategies in pain during activity, or in functional outcome. Further high-quality trials... Read More »
Level 1 Meta Analysis
5%
Synopsis: 76 patients with Dupuytren's contracture and a palpable nodule were randomized to one of four groups; 0.25mg collagenase clostridium histolyticum (CCH) injection, 0.40mg CCH injection, 0.60mg CCH injection, or placebo injection.Patients were assessed over 8-week follow-up nodule size and hardness, pain, patient satisfaction, and investigator-rated improvement.After 8 weeks, reduction in nodule size was significantly greater in the 0.40mg and 0.60mg CCH groups compared to placebo, and reduction in nodule hardness was significantly greater in the 0.25mg, 0.40mg, and 0.60mg CCH groups compared to placebo. Composite responder rate... Read More »
Level 2 RCT
5%
Synopsis: 27 randomized controlled trials were included in this systematic review and meta-analysis on workplace-based neck and shoulder strengthening intervention, general fitness training, and ergonomic approach interventions, and their effect on either reducing neck pain among symptomatic office workers, or preventing the development of neck pain in general among office workers.Among office workers with neck pain, there was moderate-quality evidence in support of either workplace-based neck and shoulder strengthening intervention or general fitness training for greater pain reduction than no training. A single study... Read More »
Level 1 Meta Analysis
5%
Synopsis: 62 patients with lateral epicondylitis and associated radial tunnel syndrome were randomized to receive surgical treatment of lateral epicondylitis with either a radial nerve release/decompression or no radial nerve release/decompression.The primary outcomes of interest were the Quick Disability of the Arm, Shoulder and Hand (QuickDASH) score and the Mayo Elbow Performance Score (MEPS).Outcomes were measured at 1, 3 and 6 months post-operation. While both groups... Read More »
Level 2 RCT
5%
Synopsis: 112 patients with trigger finger were randomized to percutaneous release of the A1 pulley with or without the addition of a steroid injection.Patients were assessed after 3 weeks and 3 months for outcome on a patient global impression of improvement scale, modified Quinnell grade, and pain on a visual analog scale. Results demonstrated significantly... Read More »
Level 2 RCT