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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT02604537
Other study ID # 15060
Secondary ID
Status Active, not recruiting
Phase Phase 4
First received
Last updated
Start date October 15, 2015
Est. completion date December 31, 2025

Study information

Verified date April 2024
Source OrthoCarolina Research Institute, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine if corticosteroid injection modifies the natural course of de Quervain tendinopathy compared to a toradol injection.


Description:

If steroids are effective for Dequervain tenosynovitis because of their anti-inflammatory properties, then there is a reasonable and rational argument to be made for the local injection of NSAIDS (non-steroidal anti-inflammatory drugs) into the first dorsal extensor compartment. Ketorolac is an NSAID that has been proven efficacious in the treatment of another musculoskeletal condition. Moreover, compared to betamethasone (or other injectable corticosteroids), injection of ketorolac decreases the patient exposure to the potential side-effects of corticosteroids, especially that of elevation of blood sugar levels in diabetics.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 64
Est. completion date December 31, 2025
Est. primary completion date December 31, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Diagnosis of DeQuervain tendinopathy - Understands the local language and is willing and able to follow the requirements of the protocol - Understands the informed consent and signs the institutional review board/independent ethics committee (IRB/IEC) approved informed consent form Exclusion Criteria: - Patients who have an allergy to lidocaine, celestone, or ketorolac, nonsteroidal anti-inflammatory drugs (NSAIDs), or acetylsalicylic acid (ASA) - Patients who have an adverse reaction to lidocaine, celestone, or ketorolac (such as severe elevation of blood sugars in diabetics that caused medical complication) - Patients who have received a prior steroid injection within the past three months - Patients who have had a prior ipsilateral surgery for DeQuervain Tenosynovitis - Patients that have a skin lesion at the location of injection (such as trauma, eczema, rash) - Patients who have a current infection at the location of injection - Patients who have had iontophoresis within three months - Patients who are breast feeding, pregnant, or who plan to become pregnant in the next six months

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
betamethasone
1 cc of 1% lidocaine (without epinephrine) plus 1 cc of 6 mg/ml betamethasone
Ketorolac
1 cc of 1% lidocaine (without epinephrine) plus 1 cc of 30 mg/ml of ketorolac

Locations

Country Name City State
United States OrthoCarolina Charlotte North Carolina

Sponsors (1)

Lead Sponsor Collaborator
OrthoCarolina Research Institute, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Visual analog scale (VAS) of pain with finklestein test Visual Analog Scale (VAS) of pain measured on 0 (no pain) - 10 (worst possible pain) 6 weeks post injection
Secondary Visual analog scale (VAS) of pain with tenderness over tendon Visual Analog Scale (VAS) of pain measured on 0 (no pain) - 10 (worst possible pain) pre injection, 2 weeks post injection, 6 weeks post injection
Secondary Visual analog scale (VAS) of pain on radial side of wrist Visual Analog Scale (VAS) of pain measured on 0 (no pain) - 10 (worst possible pain) pre injection, 2 weeks post injection, 6 weeks post injection, 3 months post injection, 6 month post injection
Secondary The Disabilities of the Arm, Shoulder, and Hand Score (DASH) Patient-reported evaluation of symptoms as well as ability to perform certain activities. Score is 0-100 (higher scores indicate greater disability). Must answer at least 27/30 questions. Score is 1 to 5 per question. Score is then summed and divided by the number of completed questions. subtract 1 from this number then multiply by 25. pre injection, 2 weeks post injection, 6 weeks post injection, 3 months post injection, 6 months post injection
Secondary Veterans-Rand 12 (VR-12) Quality of life using VR-12 subscores. Physical Health (PCS) subscore and Mental Health (MCS) subscore, not summed. Range reported in weighted units. Both PCS/MCS are score 0-100 with 100 indicating the highest level of health. pre injection, 2 weeks post injection, 6 weeks post injection, 3 months post injection, 6 months post injection
Secondary Pinch Strength pre-injection, 2 weeks post injection, 6 weeks post injection
Secondary Grip Strength pre injection, 2 weeks post injection, 6 weeks post injection