Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Oct 2011
Randomized Controlled TrialAccuracy of the biceps tendon sheath injection: ultrasound-guided or unguided injection? A randomized controlled trial.
Patients often localize pain in the anterior shoulder; however, this patient-localized pain does not necessarily correlate to the location of disease. Unguided shoulder injections are common in clinical practice. The accuracy of unguided biceps tendon sheath injections has not been studied. Patient management may be aided by the knowledge of injection accuracy. This study compared the accuracy of ultrasound-guided biceps tendon sheath injection with unguided injection. ⋯ Injection into the tendon sheath of the long head of the biceps brachii can be more accurately performed using ultrasound guidance than by the blind method.
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J Shoulder Elbow Surg · Jul 2011
Randomized Controlled TrialInternal fixation versus nonoperative treatment of displaced 3-part proximal humeral fractures in elderly patients: a randomized controlled trial.
The aim of the study was to report the 2-year outcome after a displaced 3-part fracture of the proximal humerus in elderly patients randomized to treatment with a locking plate or nonoperative treatment. ⋯ The results of our study indicate an advantage in functional outcome and HRQoL in favor of the locking plate compared to nonoperative treatment in elderly patients with a displaced 3-part fracture of the proximal humerus, but at the cost of additional surgery in 30% of the patients.
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J Shoulder Elbow Surg · Sep 2010
Randomized Controlled Trial Comparative StudyLocked intramedullary fixation vs plating for displaced and shortened mid-shaft clavicle fractures: a randomized clinical trial.
Recent literature supports surgical intervention for shortened, displaced, mid-shaft clavicle fractures. We present the results of a randomized clinical trial comparing locked intramedullary fixation and plate fixation for short, displaced, mid-shaft clavicle fractures. ⋯ Both locked intramedullary fixation and plating produce good functional results; however, metalwork may need to be removed as a second procedure.
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J Shoulder Elbow Surg · Jun 2010
Randomized Controlled Trial Comparative StudyEffect of sodium hyaluronate treatment on rotator cuff lesions without complete tears: a randomized, double-blind, placebo-controlled study.
A randomized, double-blind, placebo-controlled study of sodium hyaluronate (ARTZ Dispo) treatment was performed in 51 patients with rotator cuff lesions without complete tears. We hypothesized that ARTZ Dispo would render better results than the placebo. ⋯ Subacromial injections of sodium hyaluronate are effective in treating rotator cuff lesions without complete tears.
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J Shoulder Elbow Surg · Mar 2010
Randomized Controlled Trial Comparative StudyNonoperative management of adhesive capsulitis of the shoulder: oral cortisone application versus intra-articular cortisone injections.
Oral and intra-articular injections of cortisone will lead to significant improvement and comparable results in the treatment of adhesive capsulitis of the shoulder. ⋯ The use of cortisone in the treatment of idiopathic shoulder adhesive capsulitis leads to fast pain relief and improves range of motion. Intra-articular injections of glucocorticoids showed superior results in objective shoulder scores, range of motion, and patient satisfaction compared with a short course of oral corticosteroids.