Comparison of the therapeutic efficacy between corticosteroid injection with and without ultrasound guidance among patients with carpometacarpal 1 joint osteoarthritis

Tehran University of Medical Sciences0 个研究点目标入组 40 人开始时间: 待定最近更新: 2020年4月21日

试验速览

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•Age at least 18 years old
•History of pain of first CMC joint during rest or activity that has last for at least 3 months
•Have VAS score at least 3 before entering the study
•Pain during touch of the dorsal surface of the CMC
•OA radiographic evidence of reduced articular space or osteophyte formation (grade 2,3)
•No response to common osteoarthritis treatments including oral and topical skin treatments, physiotherapy, exercise therapy, contrast bath

•No patient access for post-intervention investigation due to no personal referral
•Patient's willing to use systemic steroids or intra-articular injection other than injectable drugs under the study
•Radiographic evidence of severe osteoarthritis (grade 4)
•Previous history of first carpometacarpal surgery
•History of any intra-CMC1 joint injection in the past six months
•Use of physiotherapy modality during the last 3 months
•Presence of steroid / lidocain injection contraindication such as sensitivity to these drugs and infection at the site of injection
•presence of a risk factor for intra-articular injection such as anti-coagulation use
•Poor control of diabetes, coagulation diseases, fractures, rheumatologic diseases, tumors, infections, gout, pregnancy or decision to get pregnant
•Severe deformity of the joint
•Acute trauma (last 3 months)

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