The Journal of hand surgery
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Randomized Controlled Trial Comparative Study
Corticosteroid injection with or without thumb spica cast for de Quervain tenosynovitis.
To compare the corticosteroid injection (CSI) with or without thumb spica cast (TSC) for de Quervain tendinitis. ⋯ Therapeutic II.
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Randomized Controlled Trial Comparative Study
Volar locking plates versus external fixation and adjuvant pin fixation in unstable distal radius fractures: a randomized, controlled study.
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Randomized Controlled Trial
The effect of buffered lidocaine in local anesthesia: a prospective, randomized, double-blind study.
Open carpal tunnel decompression under local anesthesia is routinely done by many surgeons. However, patients complain of pain during the injection of local anesthesia. This prospective, double-blind, randomized study was to compare the pain visual analog scale (VAS) scores of local anesthesia using lidocaine with and without sodium bicarbonate in patients with bilateral carpal tunnel syndrome. ⋯ Therapeutic I.
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Randomized Controlled Trial Comparative Study
Upper extremity spasticity in children with cerebral palsy: a randomized, double-blind, placebo-controlled study of the short-term outcomes of treatment with botulinum A toxin.
Botulinum A toxin (BoNT-A) injections are used widely to manage lower extremity spasticity in children with cerebral palsy. However, their use in the upper extremity is less well defined. This randomized, double-blind, placebo-controlled clinical trial evaluated the safety and efficacy of upper extremity intramuscular injections of BoNT-A in a cross-section of children with varying levels of function. ⋯ Children receiving BoNT-A injections demonstrated clinically meaningful short-term improvements in upper extremity function. Injections were well tolerated and safe. In contrast to other studies, study participants underwent multiple injection sessions based on their individual spasticity patterns.
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Randomized Controlled Trial Comparative Study
Effect of low-intensity pulsed ultrasound on bone healing at osteotomy sites after forearm bone shortening.
To test the hypothesis that low-intensity pulsed ultrasound (LIPUS) may accelerate healing at osteotomy sites after forearm bone shortening osteotomies. ⋯ Application of LIPUS shortened the time to cortical union by 27%, and to endosteal union by 18%. Our results indicate that LIPUS accelerated bone healing after we performed forearm bone shortening osteotomies. This may provide earlier return to activity and work for patients undergoing forearm osteotomies.