Rheumatoid Arthritis Clinical Trial
Official title:
The Importance of Immobilisation After Intra-articular Glucocorticoid Treatment for Elbow Synovitis - a Randomised and Controlled Study
BACKGROUND: Intra-articular glucocorticoid injections are frequently used to relieve symptoms
of arthritis. Postinjection rest has been shown to improve the outcome of knee joint
injections, but not for wrist injections. Consequently, different joints respond differently
on postinjection regimens.
OBJECTIVES: To investigate whether better treatment results might be achieved of
post-injection rest following intra-articular glucocorticoid treatment for elbow synovitis.
METHODS: 90 patients with rheumatoid arthritis (RA) and elbow synovitis were treated with 20
mg intra-articular triamcinolone hexacetonide and randomised to either a 48 hour
immobilisation in a triangular sling (n=46) or normal activity without restrictions (n=44).
Primary endpoint was relapse of synovitis. In addition, pain, function according to a self
assessment questionnaire (PREE) and range of movement were followed for six months.
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