The benefit of radiologically-guided steroid injections for trapeziometacarpal osteoarthritis.

Abstract:

INTRODUCTION:Osteoarthritis of the trapeziometacarpal joint (TMJ) is a common condition causing significant disability. Conservative treatments include intra-articular steroid injections. PATIENTS AND METHODS:This clinical, observational study prospectively reviewed the longevity of benefit of steroid injections into the TMJ. Eighty-three patients were recruited with a median age of 62 years and injected with steroid and local anaesthetic under radioscopic guidance. They were followed up until the analgesic effects ceased with a questionnaire including visual analogue scores. RESULTS:Two-thirds of patients were improved at 2 months, with nearly half having a 3-month improvement. One in six patients had a 6-month benefit, with some patients still improved 2 years after injection. Previously injected patients had a reduced duration of benefit compared to their previous injection. Severity of osteoarthritis did not affect the injection efficacy. CONCLUSIONS:Based on this study, we recommend steroid injections in all degrees of TMJ osteoarthritis.

journal_name

Ann R Coll Surg Engl

authors

Swindells MG,Logan AJ,Armstrong DJ,Chan P,Burke FD,Lindau TR

doi

10.1308/003588410X12699663905078

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

680-4

issue

8

eissn

0035-8843

issn

1478-7083

pii

593

journal_volume

92

pub_type

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