International Conference On Orthopedics And Sports Medicine

     

                        Published results showed intra-articular injection provided significantly greater pain relief and functional improvement of thumb carpometacarpal joint arthritis at 3 months compared with extra-articular injection.

                         “A steroid injection given into the [carpometacarpal] CMC joint of the thumb will provide, on average, longer lasting relief than when it is given outside of the joint,” Brian M. Katt, MD, told Healio.

    

                                    

                         Katt and colleagues used wrist radiographs to visualize location of the CMC joint injection with triamcinolone and radiopaque contrast among 102 hands with thumb CMC joint arthritis. Researchers collected DASH questionnaires and VAS pain scores before injection and at 1 week and 1, 3 and 6 months after injection. Researchers constructed generalized linear regression models to identify variables associated with clinical outcomes.

                        Researchers found improvements in DASH and VAS scores after 1 week in both the intra-articular injection group and extra-articular injection group. Although both groups reported worse DASH and VAS scores at 3 months, researchers noted significantly lower DASH and VAS scores among patients in the intra-articular group.

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