Abstract
We read the article “The Efficacy of Intra-Articular Versus Extra-Articular Corticosteroid Injections in the Thumb Carpometacarpal Joint” by Katt et al1 with great interest, as optimal placement of steroid injections in the thumb carpometacarpal joint is intensely discussed among hand surgeons. Our own clinical experience shows that there is no evident difference in pain reduction between extra- and intra-articular injections. Although we were pleased to see a scientific investigation addressing this topic, we were nonetheless surprised by the study conclusion that intra-articular injections provide significantly lower pain and Disabilities of the Arm, Shoulder, and Hand (DASH) scores compared with extra-articular injections at 3 months (P < .05).
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