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You are viewing the most viewed ACE Reports by Sports Medicine Specialists over the last 30 days in all specialties.
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①
Synopsis:
A total of five randomized controlled studies including 181 patients undergoing arthroscopic surgery for degenerative arthropathy of the knee were included in this systematic review and meta-analysis comparing the addition of intra-articular hyaluronic acid (HA) immediately after surgery (Treatment A, n=181) vs.placebo or no additional treatment (Treatment B, n=182).Pooled outcomes of interest included postoperative pain using the visual analog scale (VAS), and functional recovery using the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) score, International Knee Documentation Committee (IKDC), Tegner score, and Lysholm score.There was no statistically significant difference in pain relief and functional outcomes between both groups.Therefore, the addition of HA immediately after surgery provided no discernible benefit to pain relief or knee function.
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Level 1 Meta Analysis
6%
②
Synopsis:
47 patients with combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries were randomized to receive either operative treatment on both ACL and MCL or operative treatment just on ACL. It was observed that the non-operative treatment of the MCL led to a greater range of motion and recovery of quadriceps power generation during early follow-ups.
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Author verified Level 2 RCT
5%
①
Synopsis:
5 randomized control trials containing 149 patients were analyzed in this meta-analysis to determine the efficacy of ultrasound versus palpation-guided corticosteroid injections for plantar fasciitis.Patients who received ultrasound-guided corticosteroid injections had a higher tenderness threshold, thinner plantar fascial thickness, and a lower incidence of hypoechogenicity compared to palpation-guided corticosteroid injections. Other outcomes including...
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Level 1 Meta Analysis
4%
①
Synopsis:
This systematic review and meta-analysis included a total of four studies with 605 patients exhibiting degenerative meniscus tears and compares surgical treatment (Arthroscopic Partial Meniscectomy; APM) with non-surgical or sham treatment.Pooled outcomes of interest included knee pain, overall knee function, health-related quality of life, and mental health scores.The pooled results of this analysis showed a small improvement in knee pain at 24 months follow-up for the APM group compared to the non-surgical or sham treatment group. However, there were...
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Level 1 Meta Analysis
4%
①
Synopsis:
64 patients with primary frozen shoulder (adhesive capsulitis) were randomized to receive either a multisite (rotator interval, intraarticular, and subacromial bursa) triamcinolone injection (MCI; n=32) or a single-site triamcinolone injection (SRI; n=32).The primary outcomes of interest include range of motion in shoulder flexion, abduction, external and internal rotation and pain on a Visual Analog Scale (VAS).Secondary outcomes included patient satisfaction, American Shoudler and Elbow Surgeons (ASES) scores, Contant-Murley Score (CMS), and the incidence of palpitations.Range of motion in flexion, abduction, internal rotation at 8 weeks, ASES scores, CMS scores, and VAS pain at 4 & 8 weeks were all significantly better in the MCI group compared to the SRI group. All other outcomes...
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Level 1 RCT
3%
②
Synopsis:
118 patients with displaced distal radius fractures were randomised to undergo either a long-arm sugar tong splinting intervention or a short-arm radial gutter splinting intervention.Radiographic outcomes and disability were observed.Results indicated that comparable outcomes were seen between the long- and short-arm groups. The author's recommend...
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Level 2 RCT
3%
Synopsis:
38 adolescents with 50 knees affected by Osgood-Schlatter disease were randomized to three monthly treatments of either prolotherapy with a dextrose solution, or so sham prolotherapy with saline.Patients were assessed for function on the Victorian Institute of Sport Assessment (VISA) score after 1, 2 and 3 months. Results demonstrated no...
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Conference Report
2%
①
Synopsis:
2708 English- or Spanish-speaking women were randomised to undergo an intervention involving a computerized partner violence screening with a partner violence resource list, an intervention with just a partner violence resource list, or a control group with neither.The primary outcome was health-related quality of life. The results indicated...
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Author verified Level 1 RCT
2%
①
Synopsis:
One hundred patients with ankle osteoarthritis were randomly assigned to receive either intra-articular platelet-rich plasma injections (PRP; n=48) or intra-articular placebo injections (n=52).The primary outcome was the patient-reported American Orthopaedic Foot & Ankle Society (AOFAS) score over 52 weeks.Secondary outcomes included various patient-reported measures assessing pain, function, quality of life, and indirect costs over the same period.The adjusted between-group difference for the patient-reported AOFAS score at 52 weeks favored the placebo group by 2 points (95% CI, 25 to 2; P = .31).With regards to secondary outcomes, there were no statistically significant between-group differences observed as was measured at 52 weeks post procedure. Overall, this indicates...
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Level 1 RCT
2%
①
Synopsis:
Eight studies, including 615 patients who underwent total hip arthroplasty (THA), were analyzed in this systematic review and meta-analysis comparing the Direct Anterior Approach (DAA; n=303) to the Postero-Lateral Approach (PLA; n=312).Pooled outcomes of interest included surgical site infection rate, duration of the operation, length of incision, and pain scores using the visual analog scale (VAS) after surgery.The meta-analysis revealed no statistically significant difference in wound infections between DAA and PLA.However, DAA was associated with a shorter incision length, longer operative times, and lower postoperative pain VAS scores within 6 weeks. Additional research is...
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Level 1 Meta Analysis