Osteoarthritis

Surgical denervation as a treatment strategy for pain in hand osteoarthritis: a systematic literature review

RMD OpenPublished Systematic literature review

Authors' conclusion

Surgical denervation for pain in hand OA shows some promise, but the available evidence does not allow any conclusions of efficacy and higher-quality research is needed.

Study context

Population
Patients with osteoarthritis (OA) of the proximal interphalangeal, distal interphalangeal, metacarpophalangeal or carpometacarpal joints17 articles
Participants
351 patients
Comparison
Surgical denervation for pain in hand OA
Outcome
Pain, function and patient satisfaction
Methodological detailsliterature search up to September 2022, two independent investigators, quality assessment
  • Literature search up to September 2022
  • Two independent investigators
  • Quality assessment

Main finding

As reported in the abstract

Sixteen case series reported positive outcomes with respect to pain, function and patient satisfaction
16

Safety

Adverse events frequent; sensory abnormalities most common, followed by need for revision surgery

Original publication

Surgical denervation as a treatment strategy for pain in hand osteoarthritis: a systematic literature review. RMD Open. Published 2 August 2023. doi:10.1136/rmdopen-2023-003134

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