Evidence map›Paper›PMID 29560329›Full record

ArticleAnnals of rehabilitation medicine2018

Comparison Between Extracorporeal Shock Wave Therapy and Intra-articular Hyaluronic Acid Injections in the Treatment of First Carpometacarpal Joint Osteoarthritis.

Francesco Ioppolo, Fabiana Saracino, Rosaria Sabrina Rizzo, Giampaolo Monacelli, Danilo Lanni, Luca Di Sante, Angelo Cacchio, Valter Santilli, Teresa Venditto

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of rehabilitation medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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  5. [Extracorporeal shockwave therapy (ESWT) in hand surgery].Orthopadie (Heidelberg, Germany) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Francesco IoppoloDepartment of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0003-1586-9043
Fabiana SaracinoDepartment of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0001-5770-9262
Rosaria Sabrina RizzoDepartment of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0001-8439-9853
Giampaolo MonacelliEmergency Department of Plastic Surgery and Hand Surgery, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-8517-5189
Danilo LanniDepartment of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0003-4320-8656
Luca Di SanteDepartment of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-2200-0445
Angelo CacchioDepartment of Life, Health and Environmental Sciences, School of Medicine, University of L'Aquila, L'Aquila, Italy.ORCID https://orcid.org/0000-0001-8850-7938
Valter SantilliDepartment of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-2547-6801
Teresa VendittoDepartment of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0003-4638-0734
Sapienza University of Rome · ITUniversity of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare extracorporeal shockwave therapy (ESWT) with hyaluronic acid (HA) intra-articular injections in terms of pain relief, improvement in hand function, and strength in subjects with first carpometacarpal (CMC) joint osteoarthritis.

methodsFifty-eight patients received either focused ESWT or HA injection once a week for 3 consecutive weeks. In the ESWT group, 2,400 consecutive pulses were performed during each treatment session using a frequency of 4 Hz and an energy flux density of 0.09 mJ/mm

resultsAccording to VAS and DHI scores, a significant change in test performance was observed over time in both groups (p<0.001), with a greater average improvement in painful symptomatology at the 6-month follow-up in the ESWT group. A significant improvement in strength was observed in both groups, but the ESWT group showed better results on the pinch test starting immediately at the end of treatment.

conclusionThe use of ESWT in patients with first CMC joint osteoarthritis leads to a reduction in pain, an improvement in pinch test performance that persists for at least 6 months, and a decrease in hand disability up to the 6-month follow-up visit.

Indexed as

Extracorporeal shock wave therapyHyaluronic acidOsteoarthritisThumb

Identifiers

PMID29560329
PMCPMC5852235
OpenAlexW2792448656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.