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. 2023 Oct 11;45:78–86. doi: 10.1016/j.jor.2023.09.017

Table 1.

Summary of selected studies.

Author Country Inclusion Exclusion Intervention Regime and dose Comparator Regime and dose Comparator 2 Regime and dose Injection technique
Bahadir 2009 Turkey Grade 2 or 3 Eaton & Littler Inflammatory arthritis, trauma, carpal tunnel, previous injection Triamcinolone acetonide One injection of 20 mg/0.5 mL of triamcinolone acetatonide the start of the trial Hyaluronic acid Weekly injections of 5mg/0.5 mL of sodium hyaluronate for 3 weeks n/a n/a Needle inserted just proximal to the radial base of the first metacarpal bone, volar to the extensor pollicis brevis tendon. Hand supine
Figen Ayhan and Ustün 2009 Turkey Bilateral symptoms with failed prior treatment, VAS >40/100, radiographic evidence of grade 1–4 Eaton & Littler Previous injection, trauma, inflammatory arthritis, joint infection Hyaluronic acid One injection of 1 mL of Hylan G-F20 at the beginning of the study Saline One injection of 1 mL saline at the beginning of the study n/a n/a Needle inserted in the dorsal aspect of the radial side of the 1st carpometacarpal joint by holding the thumb in slight flexion. Hand prone
Heyworth 2008 USA Symptomatic osteoarthritis Multiple previous injections, pregnancy, previous surgery, trauma to joint, inflammatory arthritis Betamethasone acetate Two injections, first saline 1 mL at baseline followed by 1 mL sodium betamethasone a week later Hyaluronic acid Two 8 mg injections of hylan G-F 20, first at baseline and second a week later Saline Two injections of 1 mL saline, first at baseline and second a week later nm
Malahias 2021 Greece Clinical and radiographic evidence of TBOA, grades 1 to 3 Eaton & Littler Systemic rheumatic disease, self-reported comorbid hand conditions, history of gout or pseudogout, bleeding predisposition, previous surgery to the affected thumb, previous injection, grade 4 Eaton & Littler Methylprednisolone succinate Two injections of 125mg/2 mL methylprednisolone sodium succinate 15 days apart Platelet rich plasma Two injections of platelet rich plasma injections 15 days apart. Platelet rich plasma mannually prepared n/a n/a Ultrasound guided injection using free hand one man's technique
Monfort 2015 Spain Symptoms lasting >90 days requiring analgesic relief, at least grade 1 Kellgren-Lawrence Pregnancy, severe renal/liver disease, injection within last 3 months, previous thumb surgery, previous physical therapy Betamethasone acetate Once weekly injections of 0.5 mL betamethasone disodium phosphate 1.5 mg and betamethasone acetate 1.5 mg for 3 weeks Hyaluronic acid Once weekly injections of 0.5 mL of hyaluronic acid 5 mg/mL 500–1000 kDa for 3 weeks n/a n/a Ultrasound guided injection inserted lateral to the abductor pollicis longus tendon using free hand one man's technique. Hand semi-prone
Sabah 2020 Egypt Failed conservative treatment of at least 4 weeks TBOA with failed conservative treatment of at least 4 weeks Betamethasone acetate One injection of 1 mL betamethasone acetate the start of the trial Hyaluronic acid One injection of containing 730,000 Da of hyaluronic acid at the start of the trial Platelet Rich Plasma One injection of 20 mL of platelet rich plasma at the start of trial. Platelet rich plasma produced by commercial kit Needle inserted just proximal to the radial base of the first metacarpal bone, volar to the extensor pollicis brevis tendon. Hand supine
Stahl 2005 Israel Symptomatic CMCJ OA grade 2 Eaton Littler classification nm Methylprednisolone acetate One injection of 40 mg methylprednisolone acetate at beginning of study Hyaluronic acid One injection of 15 mg of hyaluronic acid at beginning of study n/a n/a Needle inserted in the dorsal aspect of the radial side of the 1st carpometacarpal joint by holding the thumb in slight flexion. Hand prone
Comparative Case Series
Tenti 2017 Italy Age 45–75, symptoms >3 months, VAS >30/100, grade 2 or 3 Kellgren-Lawrence Inflammatory joint disease, septic arthritis, major trauma, prior surgery of upper limb, coagulation disorders, severe comorbidity, therapy with chondroitin sulfate, glucosamine, diacerein and steroids Triamcinolone acetonide Two injections of 0.5 mL of triamcinolone acetonide 20 mg/mL at baseline and at 15 days Hyaluronic acid Two injections of 1 mL of Sinovial H-L 3.2 % 16 mg + 16 mg/mL baseline and 15 days n/a n/a Needle inserted lateral to the abductor pollicis longus tendon using free hand one man's technique. Hand semi-prone

n/a – not applicable.

nm – not mentioned.