Showing 1 - 12 of 203 reports matching: Hand & Wrist
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Synopsis: 27 patients scheduled for ligament reconstruction and tendon interposition of the carpometacarpal joint were randomized to either mobilization after 2 weeks, or continued immobilization for 6 weeks to determine if early mobilization is safe and effective in this population. Patients were followed up at 6 and 12 weeks postoperatively for patient-reported function, pain, pinch and grip strength, and range of motion. No significant differences Read More »
Conference Report
Synopsis: 34 patients (40 wrists) with carpal tunnel syndrome were randomized to receive either radial extracorporeal shock wave therapy (rESWT) or sham therapy as treatment. The purpose of this study was to determine if active rESWT was associated with significant improvement in pain and paresthesia, symptom severity, and function when compared to sham therapy at 1, 4, 8, and 12 weeks post-treatment. Results demonstrated that Read More »
Level 2 RCT
Synopsis: 33 adult patients with a distal radial fracture were randomized to receive either 6 weeks of structured advice from a physiotherapist supplemented with exercise, or structured advice solely. The purpose of this study was to determine whether a combination of structured advice and exercise yields better outcomes compared to structured advice alone with regards to the rehabilitation of upper limb activity. Outcomes were over Read More »
Level 2 RCT
Synopsis: 72 patients with a displaced distal radius fracture scheduled for fixation with a volar locking plate were randomized to receive a plate placed distal to the watershed line, or a plate placed completely proximal to the watershed line. The purpose of this study was to compare the range of motion, functional outcome measures, and complications between groups over a 6-month follow-up. With the exception Read More »
Level 2 RCT
Synopsis: 93 patients with Dupuytren's contracture were randomized to either needle fasciotomy or collagenase injection. The purpose of the study was to compare the range of motion and clinical outcome measures over a 1-year follow-up. Despite immediate differences Read More »
Author verified Level 2 RCT
Synopsis: Five randomized controlled trials (RCTs) were included in this systematic review and meta-analysis comparing clinical, functional, and radiographic outcomes between volar locking plates (VLP) and intramedullary nails (IMN) in the management of distal radius fractures. Additionally, the incidence of postoperative development of carpal tunnel syndrome was compared between techniques. No significant differences Read More »
Level 2 Meta Analysis
Synopsis: 92 patients with carpal tunnel syndrome were randomized to undergo either 1mm ultra-minimally invasive ultrasound-guided carpal tunnel release or 2cm blind mini-open carpal tunnel release. The purpose of this study was to compare the two techniques with regards to postoperative Quick-Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores, as well as grip strength, time to discontinuation of oral analgesics, full wrist flexion-extension, paresthesia relief, and return to pre-injury function. Outcomes were measured Read More »
Level 2 RCT
Synopsis: 43 patients with posttraumatic radial-sided wrist pain, without fracture or scapholunate ligament injury, were randomized to either immediate mobilization of the wrist or 2 weeks of cast immobilization. The purpose of this study was to compare the two treatment modalities with regards to the total range of motion in the wrist, wrist radio-ulnar deviation, grip strength, pinch strength, pain, and disability. Outcomes were assessed Read More »
Level 2 RCT
Synopsis: Four randomized controlled trials were included in this systematic review and meta-analysis to evaluate the effect of prophylatic antibiotic administration in the case of open distal phalanx fracture. Data on superficial infection rate and incidence of osteomyelitis development were pooled. Results on infection Read More »
Author verified Level 1 Meta Analysis
Synopsis: 42 patients were randomized to undergo open reduction and internal fixation for a proximal phalangeal fracture either with or without the placement of a denaturated oxidized cellulose adhesion barrier. The purpose of this study was to determine if an adhesion barrier resulted in significantly different total angular movement, DASH scores, requirement of secondary surgery, and adverse events) when compared to treatment without the use of an adhesion barrier after 6 months. Results demonstrated that Read More »
Level 1 RCT
Synopsis: 36 patients with closed, displaced, and unstable distal radius fracture were randomized to receive either general anaesthesia or brachial plexus blockade. The purpose of this study was to compare pain scores and analgesic consumption at 2, 4, 6, 12, 24, 48 and 72 postoperative hours. Operative time was Read More »
Author verified Level 2 RCT
Synopsis: 5 randomized controlled trials (RCTs), with a total of 215 patients, were included in this systematic review to determine if there are benefits to reduction and splint or cast immobilization to fractures of the fifth metacarpal neck (or more commonly known as boxer's fractures). Analysis of the included studies indicated that splint or cast immobilization yields no benefits in range of motion, strength, or any other measured outcomes when compared to soft wrap or buddy taping treatment without reduction. On the contrary, Read More »
Level 3 Meta Analysis