Cochrane: surgery for thumb CMC OAThe Cochrane database of systematic reviews 2015
Surgery for thumb (trapeziometacarpal joint) osteoarthritis
No procedure showed clear superiority over another, including over trapeziectomy alone, for pain, function, quality of life or adverse events; most trials had unclear risk of bias.
Systematic review / meta-analysisManagementHand
Methylprednisolone for CTS (Atroshi)Annals of internal medicine 2013
Methylprednisolone injections for the carpal tunnel syndrome: a randomized, placebo-controlled trial
Methylprednisolone significantly improved symptoms at 10 weeks compared with placebo and modestly reduced the rate of surgery at one year, but most patients in all groups still went on to have surgery.
Randomised trialManagementHand
Trigger finger: injection vs percutaneous vs open releaseRheumatology (Oxford, England) 2012
Treatment of trigger finger: randomized clinical trial comparing the methods of corticosteroid injection, percutaneous release and open surgery
Percutaneous and open release both resolved triggering in all cases and were similarly effective, while steroid injection had lower cure rates even when a second injection was allowed.
Randomised trialManagementHand
Needle fasciotomy vs limited fasciectomy (5-year)Plastic and reconstructive surgery 2012
Five-year results of a randomized clinical trial on treatment in Dupuytren's disease: percutaneous needle fasciotomy versus limited fasciectomy
Recurrence was significantly and substantially more frequent and earlier after needle fasciotomy than after limited fasciectomy, although PNF had faster recovery and fewer complications.
Randomised trialManagementHand
Trapeziectomy vs LRTI (5-18 year follow-up)The Journal of hand surgery 2012
Five- to 18-year follow-up for treatment of trapeziometacarpal osteoarthritis: a prospective comparison of excision, tendon interposition, and ligament reconstruction and tendon interposition
There were no significant differences in pain, grip or pinch strength or movement between the three techniques; good pain relief was maintained over time, although pinch strength declined regardless of procedure.
Randomised trialManagementHand
CORD I (collagenase for Dupuytren)The New England journal of medicine 2009
Injectable collagenase clostridium histolyticum for Dupuytren's contracture
Collagenase achieved the primary end point in significantly more joints than placebo, with better results at the MCP than the PIP joint; adverse events were mostly local (swelling, bruising, skin tears), with rare tendon rupture.
Randomised trialManagementHand
Surgery vs non-surgical therapy for CTS (Jarvik)Lancet (London, England) 2009
Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trial
Surgery gave significantly greater improvement in function and symptoms at 12 months, although both groups improved and the size of the difference was modest.
Randomised trialManagementHand
Splinting vs surgery for CTS (Gerritsen)JAMA 2002
Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial
Surgery gave significantly higher success rates than splinting at all follow-up points, and many patients in the splint group went on to request surgery.
Randomised trialManagementHand