Publications by authors named "N H Peckham"
Background: The most appropriate management following primary traumatic anterior shoulder dislocation in young adults is unclear. This systematic review and meta-analysis evaluated operative versus non-operative management. The primary outcome measure was re-dislocation rate, in contrast to the often reported 'recurrent instability', which includes subjective instability.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to see if it was possible to get patients to join and stay in a test comparing two treatments for shoulder pain.
- They recruited 50 out of 53 eligible patients from community centers in the UK and found that almost everyone followed the treatment.
- Results showed that both treatments helped patients feel better, and there were no major safety issues during the study.
Aims: Ankle fractures are common, mainly affecting adults aged 50 years and over. To aid recovery, some patients are referred to physiotherapy, but referral patterns vary, likely due to uncertainty about the effectiveness of this supervised rehabilitation approach. To inform clinical practice, this study will evaluate the effectiveness of supervised versus self-directed rehabilitation in improving ankle function for older adults with ankle fractures.
View Article and Find Full Text PDFBackground: After surgery for a broken ankle, patients are usually instructed to avoid walking for 6 weeks (delayed weight-bearing). Walking 2 weeks after surgery (early weight-bearing) might be a safe and preferable rehabilitation strategy. This study aimed to determine the clinical and cost effectiveness of an early weight-bearing strategy compared with a delayed weight-bearing strategy.
View Article and Find Full Text PDFArticle Synopsis
- The SCIENCE trial aims to determine the best management approach for displaced medial epicondyle fractures in children, comparing surgery to non-surgical treatment.
- Eligible participants are children ages 7 to 15, and baseline health metrics will be collected to assess function, pain, and quality of life before random allocation to either treatment group.
- Outcomes will be evaluated at various intervals up to 12 months and include measures such as function, pain levels, complications, and school absence, using electronic questionnaires filled out by participants or their guardians.