The Efficacy of Triamcinolone acetonide via fluoroscopy assisted injection compare to unassisted injection in the treatment of first carpometacarpal joint osteoarthritis Carpometacarpal joint osteoarthritis, 1st cmc osteoarthritis, trapeziometacarpal joint osteoarthritis
Conditions
Interventions
Triamcinolone Acetonide 40mg 1ml + 1% Lidocaine 1ml with fluoroscopic to assist to mark the location of the 1st CMC joint,Triamcinolone Acetonide 40mg 1ml + 1% Lidocaine 1ml by palpation the location
Experimental Procedure/Surgery,Experimental Procedure/Surgery
Triamcinolone acetonide injection via Fluoroscopic assited,Triamcinolone acetonide injection by palpation
Sponsors
Faculty of Medicine, Srinakharinwirot University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.tender at base of thumb, 2.Grind test, Axial compression test : positive, 3.A Robert view of thumb:joint narrowing, joint widening , osteophyte, 4.Eaton and Littler classification 1-4, 5.no history of steroid injection, 6.failure of medication
Exclusion criteria
Exclusion criteria: 1.History of steroid injection at first carpometacarpal joint before, 2.other pain disease at base 1st metacarpal joint, 3.allergy to steroid or xylocaine ,4.severe infection within 4 weeks , 5.poor control diabetic disease, 6.patient had been life vaccine injection within 2 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score 4,8,12,24 weeks VAS score | — |
Secondary
| Measure | Time frame |
|---|---|
| Hand grip 4,8,12,24 weeks Hand grip dynamometer,Thumb adduction power 4,8,12,24 weeks Medical Research Council Muscle Grading System,Pinch strength 4,8,12,24 weeks two point key pinch dynamometer,Kapandji score 4,8,12,24 weeks range of thumb can reach,Quick DASH score 4,8,12,24 weeks Quick DASH score,Adverse effect 4,8,12,24 weeks adverse effect | — |
Countries
Thailand
Contacts
Public ContactKasidith Leerunyakul
Srinakharinwirot university
Outcome results
None listed