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Synopsis: 96 children with a minimally angulated greenstick or transverse fracture of the wrist were randomized to receive either a wrist splint or a short arm cast for 4 weeks.The children were assessed for physical function at 6 weeks and degree of angulation at 4 weeks.Range of motion, grip strength, and complications were also noted. The two groups... Read More »
Level 2 RCT
33%
Synopsis: 25 patients (42 wrists) with mild or moderate carpal tunnel syndrome were randomized to receive one of three conservative therapies: ultrasound (US), cryo-ultrasound (cryo-US), or extracorporeal shock wave therapy (ESWT).The purpose of the study was to evaluate the efficacy of treatments in terms of carpal tunnel symptom relief, and determine if ESWT was more effective than the comparative treatments.ESWT resulted in significantly greater improvements to part 1 of the Levine-Boston questionnaire (for symptom severity) compared to US and cryo-US, but no difference in a VAS for pain, a VAS for parasthesia, or part 2 of the Levine-Boston questionnaire (for functional status) was observed between groups. All treatments were... Read More »
Author verified Level 2 RCT
33%
Synopsis: 41 patients scheduled for volar plate fixation of a distal radius fracture were randomized to two different methods for postoperative analgesia.In one group, patients were administered a pre-incision injection of bupivacaine, and then an injection of liposomal bupivacaine at the end of the procedure.In the other group, patients were administered a pre-incision injection of bupivacaine only.Patients were assessed for pain, analgesic consumption, and adverse events over the first 5 days after surgery. The only significant... Read More »
Author verified Level 2 RCT
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