Postural Control Pre- and Post-Group Supervised Clinic Based Exercise or Home Based Exercise in Patients with Knee Osteoarthritis: A Randomized Clinical Trial

SUMMARY Background. Knee osteoarthritis (OA) is a chronic, multifactorial and progressive disease that decreases range of motion and flexibility and alters proprioception and postural control. Postural control provides stability and conditions to assume and maintain the desired body position. In OA patients, this postural control is diminished along with overall functional capacity, and physical exercise … Continued

Radial Extracorporeal Shockwave Therapy (rESWT) is Non-Superior to Minimal-Dose rESWT for Patients with Chronic Patella Tendinopathy: A Double-Blinded Randomized Controlled Trial

SUMMARY Objective. Investigating outcomes for patients with chronic patella tendinopathy following radial extra-corporeal shockwave therapy (rESWT). Methods. 22 patients with chronic patella tendinopathy were recruited for this DB-RCT from a single NHS Sports Medicine clinic. Participants were randomized equally to either 3 sessions of herapeutic-dose or minimal-dose rESWT respectively, alongside a structured and progressive home … Continued

Efficacy of Liposomal Bupivacaine in Arthroscopic Rotator Cuff Repair: a Systematic Review and Meta-Analysis of Randomized Controlled Trials

SUMMARY Objective. To conduct the first-ever meta-analysis of all randomized controlled trials (RCTs) that scrutinized the analgesic efficacy of liposomal bupivacaine (LB, intervention) versus nonliposomal local anesthetic agents (NLAAs, control) during arthroscopic rotator cuff repair (ARCR). Methods. Five databases were screened from inception until 09-April-2022. Subgroup analyses according to the postoperative day (POD, POD 0-7) were conducted. The data were … Continued

Intervention Treating Kinetic Chain Factors versus Heavy-Slow Resistance Training in Athletes with Patellar Tendinopathy: Protocol for a Randomized Blind Clinical Trial

SUMMARY Introduction. Heavy Slow Resistance Training (HSR) is one of the most recommended interventions for the treatment of patellar tendinopathy (PT). However, the HSR protocol does not address known risk factors for PT. Athletes with PT have been shown to have stiff jump-landings, decreased ankle dorsiflexion range of motion and hip extensors strength compared to asymptomatic athletes. This study … Continued

Identifying the Upper Subscapular Nerve as a Target for Chronic Shoulder Pain

SUMMARY Introduction. Shoulder pain is one of the most common etiologies of chronic pain representing roughly 16% of all presenting patients (1). The branches of the subscapular nerve have been suggested as contributing to the sensory innervation of the shoulder and may have clinical value as a therapeutic target for nerve block, ablation, and stimulation. Methods. Six formalin embalmed … Continued

Conversion to Knee Arthroplasty Following Intra-Articular Injection of Microfragmented Adipose Tissue in Patients with Knee Osteoarthritis

SUMMARY Background. Few studies have investigated the need for additional treatment after use of intra-articular injection of microfragmented adipose tissue (MFAT) in treatment of knee osteoarthritis. We assessed the rate of conversion to knee arthroplasty and 1-year clinical outcomes after intra-articular injection of MFAT for knee osteoarthritis. Methods. We retrospectively reviewed data from consecutive patients … Continued

Cross-Cultural Adaptation and Measurement Properties of the Brazilian Portuguese Version of Two Scales Which Measure Function and Disability in People with Achilles Tendinopathy

SUMMARY Background. Achilles tendinopathy can be disabling and is one of the most common chronic lesions among conditions affecting athletes’ feet and ankles. The clinical recommendation to measure self-reported limitations and functional capacity of patients with Achilles tendinopathy suggests the use of the Victorian Institute of Sport Assessment-Achilles (VISA-A) for pain and stiffness and the Foot and Ankle Ability Measure … Continued

The Effect of Addition of Buffered Dextrose 5% Solution on Pain Occurring During Local Steroid Injection for Treatment of Plantar Fasciitis: A Randomized Controlled Trial

SUMMARY Objective. To evaluate the potential immediate analgesic effect of addition of 5% dextrose water (D5W) during local steroid injection for treatment of plantar fasciitis (PF). Methods. In this single blind study, 122 patients with PF were randomly assigned to receive either 40 mg triamcinolone acetonide/1ml + 0.5ml. lidocaine 2% (group A: 61 patients; 73 … Continued

Post-traumatic ankle osteoarthritis: quality of life, frequency and associated factors

Background. To assess the quality of life in patients with post-traumatic ankle osteoarthritis (PTOA) and evaluate frequency and relationship between dependent and independent factors. Methods. We performed a prospective study of patients with post-traumatic ankle osteoarthritis analyzing American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, VAS, Short-Form Health Survey (SF-12) divided into mental (MCS) … Continued