RESEARCH - The pain associated with intraarticular hyaluronic acid injections for trapeziometacarpal OA

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Clin Rheumatol. 2006 Jun 24; [Epub ahead of print]

The pain associated with intraarticular hyaluronic acid injections for

trapeziometacarpal osteoarthritis.

Department of Orthopaedic Surgery, Meram Medical School, University of

Selcuk, Konya, Turkey.

Trapeziometacarpal osteoarthritis predominantly affects middle-aged women.

Most cases with rhizarthrosis can be managed successfully by conservative

means. The purpose of this prospective study was to evaluate pain and

tolerability of viscosupplementation therapy with hyaluronic acid (HA) for

trapeziometacarpal osteoarthritis. Groups A and B consisted of eight

patients each with Eaton stage 3 or 4 rhizarthrosis, who underwent one cycle

of three injections of (one per week) 0.3 cm(3) sodium hyaluronate. The

injections for group A were under fluoroscopy control, but fluoroscopy was

not used in group B. Pain and tolerability of both groups A and B were

measured and compared. The patients of the groups were also asked to

evaluate the tolerability of the treatment. The results suggested that HA

injection in the carpometacarpal joint is a tolerable procedure but the

patients complained of pain and discomfort during the injections. The pain

in group A was much greater than in group B. Viscosupplementation for the

treatment of trapeziometacarpal osteoarthritis is a viable treatment option

for stages 3 and 4 patients when they do not want to be operated on. It is a

tolerable but not a painless procedure especially when it is done without

fluoroscopy control. We recommend giving injections under fluoroscopy

control.

PMID: 16799752

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=Abstra\

ctPlus & list_uids=16799752

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