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Completed

NCT Number: NCT03847935

Trigger Finger Treatment

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.

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Key information

Conditions

Trigger Finger Muscular Diseases Musculoskeletal Diseases Stenosing Tenosynovitis Tendinopathy Tendon Entrapment Trigger Digit Trigger Finger Disorder

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • trigger finger in digit 2-5

Exclusion criteria

  • if prior treatment for trigger finger, or Trigger thumb

Treatment and study plan

Surgery

Procedure

A1 pulley release of finger

Corticosteroid injections

Procedure

corticosteroid injection to A1 pulley

Hand Therapy

Other

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

Other names: physical therapy, occupational therapy

Modality Hand Therapy

Other

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education, plus modalities such as ultrasound, iontophoresis

Primary outcomes

  1. Change in Functional use using Quick DASH 6 weeks

    Time frame: Day 1, 6 weeks

    Change from baseline to 6 weeks Quick DASH

  2. Change in Functional use using Quick DASH 3 months

    Time frame: Day 1, 3 months

    Change from baseline to 3 months Quick DASH

  3. Change in Functional use using Quick DASH 6 months

    Time frame: Day 1, 6 months

    Change from baseline to 6 months Quick DASH

  4. Change in Edema 6 weeks

    Time frame: day 1, 6 weeks

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

  5. Change in Edema 3 months

    Time frame: day 1, 3 months

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

  6. Change in Edema 6 months

    Time frame: day 1, 6 months

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

  7. Change in Pain on a likert scale 6 weeks

    Time frame: 1 day, 6 weeks

    Baseline to 6 weeks pain on a 0-10 scale

  8. Change in Pain on a likert scale 3 months

    Time frame: 1 day, 3 months

    Baseline to 3 months pain on a 0-10 scale

  9. Change in Pain on a likert scale 6 months

    Time frame: 1 day, 6 months

    Baseline to 6 months pain on a 0-10 scale

  10. Change in Range of motion 6 weeks

    Time frame: 1 day, 6 weeks

    Baseline to 6 weeks flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

  11. Change in Range of motion 3 months

    Time frame: 1 day, 3 months

    Baseline to 3 months flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

  12. Change in Range of motion 6 months

    Time frame: 1 day, 6 months

    Baseline to 6 months flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

  13. Change in Severity or Grade of triggering 6 weeks

    Time frame: 1 day, 6 weeks

    Baseline to 6 weeks Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

  14. Change in Severity or Grade of triggering 3 months

    Time frame: 1 day, 3 months

    Baseline to 3 months Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

  15. Change in Severity or Grade of triggering 6 months

    Time frame: 1 day, 6 months

    Baseline to 6 months Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

Sponsors and collaborators

Lead sponsor

University of Massachusetts, Lowell

Other

Collaborators

  • University of Massachusetts, Worcester

Registry information

Official study title

Trigger Finger Treatment - An Outcomes Study. Comparing 6 Traditional Treatment Techniques

Important dates

Study start
2007
Primary completion
2012
Study completion
2012
First posted
Feb 20, 2019
Registry last updated
Feb 20, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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