Clinical Librarian Service Current Awareness Bulletin Musculoskeletal - May 2011
Contents:
1. New Cochrane Systematic Reviews from the Cochrane Library:
For the full text of the Cochrane Systematic Reviews please click on the title. We have included the Author’s Conclusion so you can speedily see if a therapy change is indicated:
Author’s Conclusions Though the available evidence suggests that electromagnetic field stimulation may offer some benefit in the treatment of delayed union and non-union of long bone fractures, it is inconclusive and insufficient to inform current practice. More definitive conclusions on treatment effect await further well-conducted randomised controlled trials.
3) Surgery for lateral elbow pain
Author’s Conclusions. Due to a small number of studies, large heterogeneity in interventions across trials, small sample sizes and poor reporting of outcomes, there was insufficient evidence to support or refute the effectiveness of surgery for lateral elbow pain. Further well-designed randomised controlled trials and development of standard outcome measures are needed.
Author’s Conclusions. Due to a small number of studies, large heterogeneity in interventions across trials, small sample sizes and poor reporting of outcomes, there was insufficient evidence to support or refute the effectiveness of surgery for lateral elbow pain. Further well-designed randomised controlled trials and development of standard outcome measures are needed.
4) Direct thrombin inhibitors versus vitamin K antagonists or low molecular weight heparins for prevention of venous thromboembolism following total hip or knee replacement
Author’s Conclusions. Direct thrombin inhibitors are as effective in the prevention of major venous thromboembolism in THR or TKR as LMWH and vitamin K antagonists. However, they show higher mortality and cause more bleeding than LMWH. No severe hepatic complications were reported in the analysed studies. Use of ximelagatran is not recommended for VTE prevention in patients who have undergone orthopedic surgery. More studies are necessary regarding dabigatran.
Author’s Conclusions. Direct thrombin inhibitors are as effective in the prevention of major venous thromboembolism in THR or TKR as LMWH and vitamin K antagonists. However, they show higher mortality and cause more bleeding than LMWH. No severe hepatic complications were reported in the analysed studies. Use of ximelagatran is not recommended for VTE prevention in patients who have undergone orthopedic surgery. More studies are necessary regarding dabigatran.
Author’s Conclusions. Both arthroscopy and nonsurgical treatments reduced pain after 6 months. When compared with arthroscopy, open surgery was more effective at reducing pain after 12 months. Nevertheless, there were no differences in mandibular functionality or in other outcomes in clinical evaluations. Arthroscopy led to greater improvement in maximum interincisal opening after 12 months than arthrocentesis; however, there was no difference in pain.
6) Intra-articular lignocaine versus intravenous analgesia with or without sedation for manual reduction of acute anterior shoulder dislocation in adults
Author’s Conclusions. We observed no significant difference between IAL and IVAS with regard to the immediate success rate of reduction, pain during reduction, post-reduction pain relief and reduction failure. Compared to IVAS, IAL may be less expensive and may be associated with fewer adverse effects and a shorter recovery time.
Author’s Conclusions. We observed no significant difference between IAL and IVAS with regard to the immediate success rate of reduction, pain during reduction, post-reduction pain relief and reduction failure. Compared to IVAS, IAL may be less expensive and may be associated with fewer adverse effects and a shorter recovery time.
2. Nice Guidelines:
There were no new NICE guidelines for Musculoskeletal published in May 2011.
3. Systematic Reviews from the Centre for Reviews and Dissemination added this month:
For abstracts of the reviews below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.
If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form:
4. Economic Evaluations from the Centre for Reviews and Dissemination added this month:
For abstracts of the economic evaluations below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.
If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form:
5. Other relevant articles:
For abstracts of the articles below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.
If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form:
For more information please contact the Musculoskeletal Clinical Librarian: Pip Divall |
Leicester General Hospital |
Telephone: 0116 2588124 Email: pip.divall@uhl-tr.nhs.uk |
This bulletin has been created by the University Hospitals of Leicester Clinical Librarian Team. We are continually striving to improve our services therefore if you have any feedback regarding this service, please do email us.
Thank You.
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