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A randomised controlled trial of intra-articular corticosteroid injection of the carpometacarpal joint of the thumb in osteoarthritis
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  • Published on:
    Experience versus Evidence

    Dear Editor,

    Over quarter of a century of experience with injecting steroids has led me to believe in the value of steroid injections for OA of small and large joints. I have used Depot-Medrone with lidocaine for the CMC Joint, especially in the elderly who have disabling CMC joint OA, leading to inability to lift a pot of Tea, an extremely important activity of daily living for the elderly at least in UK! Many...

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    Conflict of Interest:
    None declared.
  • Published on:
    Caution: under-powering a study can lead to overstated conclusions
    • Anne-Maree Keenan, Research Fellow
    • Other Contributors:
      • Ai Lyn Tan, Paul Emery on behalf of the Rheumatology Journal Club.

    Dear Editor,

    We wish to comment on the conclusions of a study recently published in Annals: A randomized controlled trial of intra-articular injection of the carpometacarpal joint of the thumb in osteoarthritis (Ann Rheum Dis 2004: 63:1260-1263).

    This study was designed as a randomized control trial, which was powered to detect a difference "between the placebo and steroid injection which was likely t...

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    Conflict of Interest:
    None declared.