The choice of injectable glucocorticoid and whether it should be combined with a local anesthetic, the frequency of injection, and potential complications that can occur are discussed separately (see "Intraarticular and soft tissue injections: What agent(s) to inject and how frequently?" and "Joint aspiration or injection in adults: Complications" ). The injection of saline (ie, saline load test), used to diagnose traumatic arthrotomy, is also discussed elsewhere. (See "Severe extremity injury in the adult patient", section on 'Soft tissue and bone assessment' .)
With any form of inflammation, injury or arthritis of the CMC joint Pain is the greatest issue. Some of the painful activities will include those involving gripping. Thumb joint pain can be characterized by stiffness, tenderness or swelling in the region. But in the early stages, pain will only occur with use or activity. At times however, if inflammation will progress, pain will also occur while at rest. This will make some of the Functional activities such as opening doors, jars as well as dexterity activities such as writing and buttoning buttons will become so painful and limited. If the condition worsens, both the range of motion and strength of the joint can also become limited.
Diagnosis Index entries containing back-references to :