Abstract
Injectable corticosteroids remain an important intervention in the management of multiple hand and upper extremity conditions. Common uses include intra-articular applications, with the goal of symptomatic relief in osteoarthritis, rheumatoid arthritis, and crystal deposition diseases, as well as extra-articular injections for tendinopathies and nerve compression syndromes. There is little high-quality evidence to guide which steroid to use in a given clinical situation; however, an understanding of the mechanisms of action, pharmacologic profiles, and associated complications of different steroid preparations can help guide the clinician in appropriate corticosteroid selection.
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