Open Surgery Versus Corticosteroid Injections in Treatment of Trigger Finger

Jeppe Lange, MD166 enrolled

Overview

The purpose of the study is to investigate which strategy is superior in trigger finger Quinell grade IIb-V; conventional open surgery or ultrasound guided corticosteroid injections.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

166

Conditions

Trigger Finger

Interventions

Corticosteroid injectionsPROCEDURE

Corticosteroid injections in and around A1-pulley.

Open surgeryPROCEDURE

Open A1-pulley release

Eligibility

Sex: ALLMin age: 18 YearsMax age: 99 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Trigger finger Quinell grade IIb-V in digit I-V Exclusion Criteria: * Former treatment of Trigger finger in affected digit * Dupuytrens contracture in affected digit * Allergies or intolerance to used medications * Rheumatoid Arthritis * Insulin dependent Diabetes Mellitus * Amyloidosis * Mucopolysaccharidosis * Already included in study with another digit

Locations (1)

Center for Planned surgery - Regionalhospital Silkeborg

Silkeborg, Denmark

Outcomes

Primary Outcomes

Quinell grade

Dicotomized outcome defined as +/- failure. Failure defined as Quinell grade equal to or above IIb. Quinell grade defined as: I Normal movement, IIa normal movement with pain/tenderness to A1-pulley, IIb anamnestic triggering but not evident at clinical exam, III triggering without locking, IV triggering with locking but actively correctable, V Locked digit, passive correctable only.

Time frame: 12 months

Secondary Outcomes

Numerical Rating Scale (NRS) score

Pain following either procedure measured by NRS (score 0-10, 10 is severe pain)

Time frame: 12 weeks

infection

Infection occurence following either procedure

Time frame: 12 weeks

Data from ClinicalTrials.gov

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