Shamma Ahmad Al-Nokhatha; Sinead Maguire; Luke Corcoran; Neil Mac Eoin; Richard Conway; Ciaran Johnson – Osteoarthritis is a debilitating degenerative disease more pronounced in elderly affecting many joints. The first carpometacarpal joint (CMC1) is commonly affected. Pain is the major complaint, which can impact patient’s daily activities. Intra-articular glucocorticoid injection can be considered if conservative measures fail and ultrasound guided injection might be superior to the traditional anatomic landmark-guided technique.