The aim of the study is to compare the therapeutic effects of hyaluronic acid versus steroid injections in treating trigger fingers using ultrasound guidance
A prospective randomized controlled study designed to compare the outcomes of injecting patients with trigger finger with hyaluronic acid versus corticosteroid under ultrasound guidance
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
100
A1-Pulley infiltration for trigger finger
A1-Pulley infiltration for trigger finger
Dubai Hospital- Dubai Health Authority
Dubai, United Arab Emirates
RECRUITINGChange in Quinnell trigger finger grading system:
Change in Quinnell grading overtime within 3 months after injection. Trigger fingers are rated as follows: Grade 0: normal finger movements, Grade 1: uneven finger movements, Grade 2: actively correctable triggering, Grade 3: passively correctable triggering, and Grade 4: locked digit.
Time frame: 1 and 3 months post-injection
Visual analogue scale (VAS) of pain
Change in pain Visual analogue scale will be recorded. The patient marks on the 100 mm in length line the point that he/she feels to represent his/her perception of pain at the current state. The VAS score is determined by measuring in millimetres from the left hand end of the line to the point that the patient marks ( a higher score indicates greater pain intensity). Categorization of none, mild, moderate and severe pain will be also used (none = 0, mild = 1-4, moderate = 5-6, and severe = 7-10).
Time frame: 1 and 3 months post-injection
Frequency of tender trigger nodules
Identifying the presence of tender nodules at A1-pulley of the affected finger by palpation
Time frame: 1 and 3 months post-injection
The Quick Disability of the Arm, Shoulder and Hand score
Patients will be asked to fill a questionnaire form. It is an 11-item form that assesses the upper limb function on a scale of 1-5, with scores ranging from 11 to 55, with the higher scores representing more disability and worse upper limb function.
Time frame: 1 and 3 months post-injection
Changes in Grip strength
Measured by the dynamometer strength test (Jamar grip dynamometer)
Time frame: 1 and 3 months post-injection
Patient satisfaction with therapy
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Participating patients will be asked to classify their result into 1 of 4 categories: (1) complete resolution of symptoms, (2) improved result, but incomplete resolution of symptoms, not warranting further treatment, (3) partial response, but unsatisfactory, warranting further treatment, and (4) no response.
Time frame: 1 and 3 months post-injection
Ultrasound evaluation of A1-Pulley
Detailed ultrasonography evaluation of A1-Pulley. Comparing the A1-Pulley ultrasonographic parameters over 3 months after injection (at the follow-up appointment)
Time frame: 1 and 3 months post-injection