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Importance of immobilization after intraarticular glucocorticoid treatment for elbow synovitis: a randomized controlled study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Research and Development, Gävleborg.
2010 (English)In: Arthritis Care & Research, ISSN 2151-464X, Vol. 62, no 5, 735-737 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate whether better treatment results might be achieved with postinjection rest following intraarticular glucocorticoid treatment for elbow synovitis. METHODS: Ninety patients with rheumatoid arthritis and elbow synovitis were treated with 20 mg of intraarticular triamcinolone hexacetonide and randomized to either a 48-hour immobilization in a triangular sling (n = 46) or to normal activity without restrictions (n = 44). The primary end point was relapse of synovitis. In addition, pain, function according to a self-assessment questionnaire (the Patient Rated Elbow Evaluation), and range of movement were followed for 6 months. RESULTS: Thirteen relapses occurred in the rest group and 8 in the active group (results not significant). The secondary measures showed no statistically significant differences between the groups. CONCLUSION: Immobilization procedures do not improve the outcome of intraarticular glucocorticoid therapy for elbow synovitis. In future guidelines for such treatment of the upper extremity, normal activity after the injection should be recommended.

Place, publisher, year, edition, pages
2010. Vol. 62, no 5, 735-737 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-129603DOI: 10.1002/acr.20039ISI: 000280979600022PubMedID: 20461791OAI: oai:DiVA.org:uu-129603DiVA: diva2:344488
Available from: 2010-08-19 Created: 2010-08-19 Last updated: 2010-12-06Bibliographically approved

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