Efficacy of Ultrasound-Guided Needle Knife Release for Trigger Finger

Mohamed Maher Ismail Ahmed Elashmawy46 enrolled

Overview

Efficacy of ultrasound-guided tri-directional needle knife release in treating patients with trigger finger. The study evaluates safety, effectiveness, and recovery outcomes of a minimally invasive procedure compared to conventional approaches.

This is a clinical trial designed to investigate the efficacy and safety of ultrasound-guided tri-directional needle knife release in patients with trigger finger, especially those patients for whom conservative treatments have failed. Trigger finger is caused by of thickening of the A1 pulley, leading to pain and stiffness, which results in limitation of the hand. The procedure will be carried out under local anesthesia and guided by ultrasound to be very accurate and safe, avoiding all possible risks. Patients will be assessed for better improvement in hand functioning, pain scale basing on visual analog scale, and above all patient overall satisfaction.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Trigger Finger

Interventions

Tri-directional Ultrasound-guided Needle Knife ReleasePROCEDURE

This procedure involves ultrasound-guided tri-directional needle knife release for the treatment of trigger finger. Local anesthesia using 3-5 ml of 1% lidocaine and 0.25% bupivacaine will be administered for patient comfort. It aims to ensure precise tissue dissection while minimizing risks and improving outcomes. Device: Sonosite M-Turbo Ultrasound Machine with Linear Probe HFL38x (6-13 MHz) is used for real-time imaging during the procedure.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Idiopathic TF at the level of A1 pulley * Trigger finger of Green's grades II or III or IV (moderate to severe) * Symptoms persist for at least three months despite conservative treatments. * Ability to provide informed consent and comply with follow-up requirements. Exclusion Criteria: * Patients with secondary causes of TF like diabetes mellitus, rheumatoid arthritis, gout, hypothyroidism, amyloidosis, and sarcoidosis. * Patients with TF of Green's grade I. * Previous surgical intervention on the affected digit. * Allergy or contraindication to local anesthetics. * Pregnancy or lactation. * Inability to comply with follow-up assessments.

Locations (1)

Mansoura University Hospital

Al Mansurah, Dakahlia Governorate, Egypt

RECRUITING

Outcomes

Primary Outcomes

Improvement in hand and finger function

Functional improvement evaluation using the QuickDASH score (0-100 scale)

Time frame: 6 months

Reduction in Pain scores post-procedure

Evaluating of the effectiveness of ultrasound-guided tri-directional needle knife release in reducing pain scores among patients with trigger finger using the Visual Analog Scale (VAS) (scale 0-10)

Time frame: 6 months

Improvement of finger mobility

Measurment of joint mobility in degrees at MCP and PIP joints using goniometer.

Time frame: 6 months

Secondary Outcomes

Patient Satisfaction with the procedure

Evaluating of patient satisfaction levels using a structured questionnaire

Time frame: 6 months

Rate of procedure-related complications

Monitoring and documentation of procedure-related complications, including infection, nerve injury, and other adverse events.

Time frame: 6 months

Data from ClinicalTrials.gov

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