Duckworth olecranon elderly RCTThe bone & joint journal 2017
Prospective randomised trial of non-operative versus operative management of olecranon fractures in the elderly.
No significant difference in DASH or other functional scores at any point; the operative group had an unacceptably high complication rate and the trial was stopped early for this reason.
Randomised trialManagementElbow
Coombes tennis elbow injection RCTJAMA 2013
Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial.
Patients given corticosteroid had significantly worse 1-year recovery and higher recurrence than those given placebo injection. Adding physiotherapy to steroid did not offset this harm.
Randomised trialManagementElbow
Krogh PRP vs steroid vs salineThe American journal of sports medicine 2013
Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: a randomized, double-blind, placebo-controlled trial.
All groups improved, with no significant difference between PRP, glucocorticoid and saline at 3 months. Glucocorticoid gave better pain relief at 1 month and reduced tendon thickness and Doppler activity.
Randomised trialManagementElbow
Grewal single vs double incisionThe Journal of bone and joint surgery. American volume 2012
Single versus double-incision technique for the repair of acute distal biceps tendon ruptures: a randomized clinical trial.
No significant difference in patient-reported outcome between techniques; the double-incision group had a small gain in flexion strength. Lateral antebrachial cutaneous nerve neuropraxia was more frequent with the single anterior incision.
Randomised trialManagementElbow
Peerbooms PRP vs steroidThe American journal of sports medicine 2010
Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: platelet-rich plasma versus corticosteroid injection with a 1-year follow-up.
The PRP group had significantly more patients with successful pain and function outcomes at 1 year; the steroid group improved early and then declined.
Randomised trialManagementElbow
McKee TEA vs ORIF distal humerusJournal of shoulder and elbow surgery 2009
A multicenter, prospective, randomized, controlled trial of open reduction--internal fixation versus total elbow arthroplasty for displaced intra-articular distal humeral fractures in elderly patients.
TEA gave significantly better Mayo scores and shorter operations, and several ORIF patients were converted intraoperatively to TEA because fixation was not achievable.
Randomised trialManagementElbow
Hook testThe American journal of sports medicine 2007
The hook test for distal biceps tendon avulsion.
The hook test was highly sensitive and specific for complete rupture, outperforming MRI in this series.
Cohort studyDiagnosisElbow
Bisset tennis elbow trialBMJ (Clinical research ed.) 2006
Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial.
Injection gave the best short-term results at 6 weeks, but at 1 year it was significantly worse than physiotherapy and wait and see, with high recurrence. Physiotherapy was better than wait and see early on, with little difference by 1 year.
Randomised trialManagementElbow
Bartels ulnar nerve decompression vs transpositionNeurosurgery 2005
Prospective randomized controlled study comparing simple decompression versus anterior subcutaneous transposition for idiopathic neuropathy of the ulnar nerve at the elbow: Part 1.
Outcomes were similar, but transposition had significantly more complications.
Randomised trialManagementElbow
Pugh terrible triad protocolThe Journal of bone and joint surgery. American volume 2004
Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures.
Most elbows regained concentric stability and a functional arc of motion, though reoperation for stiffness or complications was not rare.
Cohort studyManagementElbow
Ring radial head ORIFThe Journal of bone and joint surgery. American volume 2002
Open reduction and internal fixation of fractures of the radial head.
Simple partial head fractures did well, but comminuted fractures with more than three fragments had a high rate of early failure, nonunion and poor results.
Cohort studyManagementElbow
Josefsson simple dislocation RCTThe Journal of bone and joint surgery. American volume 1987
Surgical versus non-surgical treatment of ligamentous injuries following dislocation of the elbow joint. A prospective randomized study.
Surgical repair gave no advantage over non-operative treatment.
Randomised trialManagementElbow