The patient has basal joint arthritis of the thumb and randomized controlled trials have failed to demonstrate an advantage of steroid or hylan over saline.
Heyworth et al demonstrated that all three injections were similarly effective for approximately 3 months at reducing pain and increasing thumb function over baseline levels.
Stahl found that steroid and hylan were equally effective, but did not control with saline.
Henderson found no advantage of hyaluronan over saline for knee arthritis during a 5 week treatment course.
Dr. Akelman is the Chairman of the Orthopaedic departments at the Warren Alpert Medical School of Brown University, Rhode Island Hospital and Miriam Hospital. Dr. Akelman is board-certified by the American Board of Orthopaedic Surgery(ABOS) and holds the subspecialty certificate in orthopaedic surgery of the hand. He devotes his practice to hand, wrist and elbow conditions. He has expertise in caring for common hand problems such as Dupuytren’s disease, hand fractures, sports injuries, arthritis and nerve problems of the hand, wrist and elbow.