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Efficacy of Combined Conservative Therapies vs Education in Thumb Base Osteoarthritis

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Ace Report Cover
March 2025

Efficacy of Combined Conservative Therapies vs Education in Thumb Base Osteoarthritis

Vol: 307| Issue: 3| Number:94| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Efficacy of a Combination of Conservative Therapies vs an Education Comparator on Clinical Outcomes in Thumb Base Osteoarthritis: A Randomized Clinical Trial

JAMA Intern Med. 2021 Apr 1;181(4):429-438.

Contributing Authors:
LA Deveza SR Robbins V Duong KL Bennell B Vicenzino PW Hodges A Wajon R Jongs EA Riordan K Fu WM Oo RL O'Connell JP Eyles DJ Hunter

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Synopsis

Two hundred four patients with symptomatic and radiographic thumb base osteoarthritis were randomized to receive a 6-week combination of education, splinting, hand exercises, and topical diclofenac sodium 1% gel (n=102) or education alone (n=102). The primary outcomes were hand function (Functional Index for Hand Osteoarthritis, FIHOA) and thumb base pain (visual analog scale, VAS). Secondary outc...

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