Thumb Osteoarthritis
Conditions
Brief summary
Randomized comparison between Platelet Rich Plasma (PRP) and placebo (Saline) for thumb base.osteoarthritis.
Interventions
Platelet rich plasma
Saline
Sponsors
Study design
Eligibility
Inclusion criteria
* Arthritis in the thumb base. * Radiological Eaton Littler class 1-3. * Clinical signs of thumb base osteoarthritis: pain at palpation of the CMC-1 joint and pain during provocation/grinding test.
Exclusion criteria
* Rheumatoid arthritis. * Ongoing infection in the hand or wrist. * History of gout or pseudo gout. * Inability to co-operate with the follow-up protocol (language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction). * Intra-articular injection in the affected joint within 6 months. * Eaton Littler class 4 (STT joint involved).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in patient-rated pain on load | 3 and 6 months after injection. | Numerical rating scale 0-10p (10=worst possible pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in EQ-5D | 3 and 6 months after injection. | Weight mean value: 0=dead, 1= healthy |
| Change in Patient-rated Wrist and Hand Evaluation (PRWHE) | 3 and 6 months after injection. | Patient Rated Outcome Measure 0-100p, higher score=more disability |
| Change in Disability of the Hand, Arm and Shoulder (DASH) score | 3 and 6 months after injection. | Patient Rated Outcome Measure, 0-100p higher score=more disability |
| Change in Nelson Thumb score | 3 and 6 months after injection. | Patient Rated Outcome Measure, 0-100p, lower score= more disability |
| Change in Pain Catastrophizing Score (PCS). | 3 and 6 months after injection. | 0-52p, higher score = more pain catastrophizing |
| Change in thumb range of motion | 3 and 6 months after injection. | Radial and palmar abduction of the first metacarpal (degrees) |
| Change in thumb strength | 3 and 6 months after injection. | Key pinch and pinch strength (Kg) |
| Change in Hospital Anxiety and Depression Score (HADS), | 3 and 6 months after injection. | 2 subscores for anxiety (0-21p) and depression (0-21p), higher score = worse |
Countries
Sweden