Intra-articular corticosteroid injections to manage trapeziometacarpal osteoarthritis-a systematic review
dc.contributor.author | Fowler, A | |
dc.contributor.author | Swindells, Mark | |
dc.contributor.author | Burke, Frank | |
dc.date.accessioned | 2016-08-18T14:30:12Z | |
dc.date.available | 2016-08-18T14:30:12Z | |
dc.date.issued | 2015-12 | |
dc.identifier.citation | Hand (N Y). 2015 Dec;10(4):583-92. doi: 10.1007/s11552-015-9778-3. Epub 2015 Jun 17. | language |
dc.identifier.uri | http://hdl.handle.net/20.500.12904/999 | |
dc.description.abstract | BACKGROUND: Osteoarthritis of the trapeziometacarpal joint (TMJ) is a common condition causing significant disability. The aim of this study is to ascertain whether an intra-articular corticosteroid injection leads to pain relief and increased function and what is the duration and magnitude of this effect. METHODS: A systematic review with a critical appraisal of identified studies that met the inclusion criteria was performed. Two authors performed the literature review by independently searching the Cochrane, PubMed and Google Scholar databases. RESULTS: A total of 118 relevant articles were found, but only nine studies met the inclusion criteria which included 4 double-blinded randomised control trials (RCTs) and 5 prospective case series. There is some evidence in the literature to support the efficacy of steroid injections into the TMJ. Most studies do suggest a good short-term benefit. However, one identifies no benefit over placebo but two studies found a benefit lasting at least 6 months. CONCLUSIONS: This study demonstrates that there are potentially significant although short-term benefits to be gained from steroid injections into the TMJ. They can lead to pain relief and improved function, certainly in the first 1 to 3 months post-injection. Steroid injections are a low-risk procedure and are helpful in delaying or avoiding the need for surgery. | language |
dc.language.iso | en | language |
dc.subject | Intra Articular Injection | language |
dc.subject | Trapeziometacarpal Joint | language |
dc.subject | Corticosteroid | language |
dc.title | Intra-articular corticosteroid injections to manage trapeziometacarpal osteoarthritis-a systematic review | language |
dc.type | Article | language |
refterms.dateFOA | 2021-06-03T10:31:38Z |