Intra-Articular Hyaluronic Acid for Viscosupplementation in Osteoarthritis of the Hand, Shoulder, and Temporomandibular Joint: A Review of Clinical Effectiveness and Safety


( Last Updated : July 25, 2019)
Project Line:
Health Technology Review
Project Sub Line:
Summary with Critical Appraisal
Project Number:
RC1155-000

Details


Question


  1. What is the clinical effectiveness and safety of intra-articular hyaluronic acid for patients with osteoarthritis of the hand, shoulder and temporomandibular joint?


Key Message

For shoulder osteoarthritis, there were no significant differences between intra-articular hyaluronic acid and placebo or between intra-articular hyaluronic acid and intra-articular corticosteroid with respect to pain reduction and functional outcomes. Adverse events were considered unrelated to the study products.



For temporomandibular joint osteoarthritis, there were no significant differences between intra-articular hyaluronic acid and intra-articular corticosteroid, or between intra-articular hyaluronic acid and no injection during arthrocentesis with respect to pain reduction and functional outcomes. There was no significant difference in adverse events between intra-articular hyaluronic acid and intra-articular corticosteroid.



For hand osteoarthritis, evidence was mixed for the comparison between intra-articular hyaluronic acid and intra-articular corticosteroid with respect to pain reduction and functional outcomes. There was no significant difference in pain reduction or functional outcomes between intra-articular hyaluronic acid and placebo. Adverse events were local and considered unrelated to study products.