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Saline
0%
14/3154
Steroid
41%
1306/3154
Hylan
1%
39/3154
All of the above are equally effective
53%
1680/3154
All of the above are detrimental
3%
93/3154
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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.
2.0
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