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

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    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.
    URI
    https://orda.derbyhospitals.nhs.uk/handle/123456789/566
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    • Trauma and Orthopaedics [218]
    Date
    2010-11
    Author
    Swindells, Mark
    Logan, AJ
    Armstrong, D
    Chan, P
    Burke, Frank
    Lindau, Tommy
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    (310) Ann R Coll Surg Engl.pdf (312.4Kb)

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