Conservative Treatments May Show No Significant Differences for Partial-Thickness Rotator Cuff Tears: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials - PubMed
5 hours ago
- #conservative treatment
- #network meta-analysis
- #rotator cuff tears
- Conservative treatments for partial-thickness rotator cuff tears were evaluated for pain relief, functional recovery, and tear size progression.
- A systematic review and network meta-analysis of 16 randomized controlled trials was conducted following PRISMA 2020 guidelines.
- Platelet-rich plasma (PRP) was the most frequently reported treatment, followed by steroids, sodium hyaluronate, and normal saline.
- No statistically significant differences were found between treatments compared to normal saline in pain relief or functional recovery.
- PRP combined with sodium hyaluronate was consistently ranked as the highest treatment option in probability rankings.
- Tear size progression could not be analyzed due to heterogeneity, though PRP showed potential for promoting tear healing.
- The study concluded that PRP is the most reported treatment but no conservative therapy significantly outperformed normal saline.