Trigger Finger Treatment

University of Massachusetts, Lowell86 enrolled

Overview

Trigger finger is a common disorder of the hand which causes pain at the A1 pulley, inflammation, stiffness and/or snapping during movement. This observational study compared all of the possible treatments and combinations of treatments for trigger finger at the A1 pulley, including surgery, cortisone injections and hand therapy.

Trigger finger is a common disorder of the hand which causes pain at the A1 pulley, inflammation, stiffness or snapping during movement. This can be very debilitating. Current treatment includes local steroid injection, oral NSAIDS, resting orthoses, physical or occupational therapy and surgical intervention. The aim of this prospective study with an observational design was to determine the outcome between surgical, hand therapy rehabilitation, and corticosteroid injection interventions for trigger finger. There were 6 treatment groups: surgery, corticosteroid injection, 1 visit of hand therapy for orthosis fabrication and therapeutic exercise, hand therapy in combination with cortisone injection, Modality hand therapy alone (ongoing visits) or with corticosteroid injections.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Trigger Finger Trigger Digit Stenosing Tenosynovitis

Interventions

surgeryPROCEDURE

A1 pulley release of finger

corticosteroid injectionsPROCEDURE

corticosteroid injection to A1 pulley

Hand TherapyOTHER

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education,

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * trigger finger in digit 2-5 Exclusion Criteria: * if prior treatment for trigger finger, or Trigger thumb

Outcomes

Primary Outcomes

Change in Functional use using Quick DASH 6 weeks

Change from baseline to 6 weeks Quick DASH

Time frame: Day 1, 6 weeks

Change in Functional use using Quick DASH 3 months

Change from baseline to 3 months Quick DASH

Time frame: Day 1, 3 months

Change in Functional use using Quick DASH 6 months

Change from baseline to 6 months Quick DASH

Time frame: Day 1, 6 months

Change in Edema 6 weeks

Baseline to 6 weeks Circumferential measurement in centimeters of the proximal phalanx

Time frame: day 1, 6 weeks

Change in Edema 3 months

Baseline to 3 months weeks Circumferential measurement in centimeters of the proximal phalanx

Time frame: day 1, 3 months

Change in Edema 6 months

Baseline to 6 months weeks Circumferential measurement in centimeters of the proximal phalanx

Time frame: day 1, 6 months

Change in Pain on a likert scale 6 weeks

Baseline to 6 weeks pain on a 0-10 scale

Time frame: 1 day, 6 weeks

Change in Pain on a likert scale 3 months

Baseline to 3 months pain on a 0-10 scale

Time frame: 1 day, 3 months

Change in Pain on a likert scale 6 months

Baseline to 6 months pain on a 0-10 scale

Data from ClinicalTrials.gov

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