Showing 1 - 12 of 389 reports matching: Shoulder & Elbow
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Synopsis: 97 patients scheduled to undergo arthroscopic subacromial decompression or arthroscopic acromioclavicular joint resection were randomly allocated to receive a 40 mg dose of dexamethasone, 8 mg dose of dexamethasone, or placebo. Doses were administered intravenously. The aim of Read More »
Level 2 RCT
Synopsis: Three randomized controlled trials (RCTs) with level II evidence were included in this meta-analysis of patients with articular surface partial-thickness rotator cuff tears. The purpose of this study was to evaluate the efficacy of the transtendon repair technique compared to completion of the tear followed by subsequent repair. Constant scores were Read More »
Level 2 Meta Analysis
Synopsis: 92 patients scheduled for outpatient arthroscopic rotator cuff repair were randomized to be managed with either a single-shot interscalene brachial plexus block (ISB) or continuous interscalene block for 72 hours postoperatively. The purpose of this study was to evaluate if the continuous ISB group demonstrated significantly better analgesia compared to the single-shot group over the first 3 postoperative days. The results demonstrated Read More »
Level 2 RCT
Synopsis: 11 randomized controlled trials were included in this meta-analysis investigating the short-term efficacy of a suprascapular nerve block (SSNB) for the management of chronic shoulder pain. Comparative treatments from identified studies included intra-articular corticosteroids, physical therapy, and placebo. Pain reduction and Read More »
Level 1 Meta Analysis
Synopsis: 27 randomized controlled trials (RCT) were included in this bayesian network meta-analysis to provide a comprehensive comparison of injection therapies for lateral epicondylitis. A total of 13 therapies were identified from the literature. The results from Read More »
Level 1 Meta Analysis
Synopsis: 30 patients with adhesive capsulitis were randomized in this pilot trial to undergo sessions of physiotherapist-directed stretching exercises with or without the addition of joint mobilization techniques. The purpose of this study was to determine if the use of joint mobilization techniques led to a significantly greater improvement in patient-reported function, disability, and pain, as well as shoulder range of motion. Outcomes were assessed Read More »
Level 2 RCT
Synopsis: 110 patients with a medium- to large-sized, full-thickness rotator cuff tear, who were scheduled for an arthroscopic single-row repair were randomized to the procedure with or without the use of platelet-rich plasma (PRP). The PRP was prepared institutionally and injected intraoperatively over the repair site. Clinical outcome measures Read More »
Level 1 RCT
Synopsis: 137 patients with lesions in the long head of the biceps tendon (LHBT) and small- to medium-sized rotator cuff tears were randomized to undergo either tenotomy or tenodesis. The purpose of the study was to compare the clinical and radiographic outcomes between the two treatments. Outcomes included the Read More »
Level 1 RCT
Synopsis: 10 randomized controlled trials were included in this meta-analysis investigating the comparative efficacy of autologous blood injections and corticosteroid injections in the treatment of lateral epicondylitis. Both autologous whole blood injections and platelet-rich plasma injections were considered. The results of Read More »
Level 1 Meta Analysis
Synopsis: 87 patients with subacromial impingement syndrome were randomized to undergo either open acromioplasty (open group), arthroscopic acromioplasty (arthroscopic group), or physiotherapy (PT group). The purpose of this study was to compare the aformentioned treatments in terms of Constant scores, Watson and Sonabend scores, and SF-36 health survey scores at 2 to 3 years post-treatment. No significant differences Read More »
Author verified Level 2 RCT
Synopsis: 53 patients undergoing arthroscopic supraspinatus repair were randomized to undergo a physical therapy protocol with or without the inclusion of pulley exercises. The purpose of this study was to determine if pulley exercises resulted in excessive scapular motion and inferior patient-reported outcomes (Western Ontario Rotator Cuff [WORC] Index, American Shoulder and Elbow Surgeons [ASES] Score, Simple Shoulder Test, and Single Assessment Numeric Evaluation [SANE] Score) when compared to physical therapy without these exercises throughout a 12-month follow-up period. Both groups demonstrated Read More »
Level 2 RCT
Synopsis: 120 patients scheduled for arthroscopy due to rotator cuff tear and concomitant superior labrum-biceps complex lesion, were randomized to one of three arthroscopic management options for the LBLC lesion: simple debridement of degenerative tissue, tenotomy of the long head of the biceps tendon, or tenodesis of the long head of the biceps tendon. The purpose of this study was to compare patient-reported outcome measures (PROMs), shoulder range of motion (ROM), and complications between groups over 1 year follow-up. No significant differences Read More »
Level 2 RCT