Trigger Finger Treatment

Trigger Finger Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03847935
• Other study ID #: H-12583
• Status: Completed
• Start date: December 10, 2007
• Est. completion date: December 8, 2012

Study information

• Verified date: February 2019
• Source: University of Massachusetts, Lowell
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 86
• Est. completion date: December 8, 2012
• Est. primary completion date: December 8, 2012
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• trigger finger in digit 2-5

Exclusion Criteria:

• if prior treatment for trigger finger, or Trigger thumb

Related Conditions & MeSH terms

• Stenosing Tenosynovitis
• Tendon Entrapment
• Tenosynovitis
• Trigger Digit
• Trigger Finger
• Trigger Finger Disorder

Intervention

Procedure:
• surgery
A1 pulley release of finger
• corticosteroid injections
corticosteroid injection to A1 pulley

Other:
• Hand Therapy
orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education,
• Modality Hand Therapy
orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education, plus modalities such as ultrasound, iontophoresis

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
University of Massachusetts, Lowell	University of Massachusetts, Worcester

References & Publications (1)

Lewis E, Fors L, Tharion WJ. Interrater and intrarater reliability of finger goniometric measurements. Am J Occup Ther. 2010 Jul-Aug;64(4):555-61. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Functional use using Quick DASH 6 weeks	Change from baseline to 6 weeks Quick DASH	Day 1, 6 weeks
Primary	Change in Functional use using Quick DASH 3 months	Change from baseline to 3 months Quick DASH	Day 1, 3 months
Primary	Change in Functional use using Quick DASH 6 months	Change from baseline to 6 months Quick DASH	Day 1, 6 months
Primary	Change in Edema 6 weeks	Baseline to 6 weeks Circumferential measurement in centimeters of the proximal phalanx	day 1, 6 weeks
Primary	Change in Edema 3 months	Baseline to 3 months weeks Circumferential measurement in centimeters of the proximal phalanx	day 1, 3 months
Primary	Change in Edema 6 months	Baseline to 6 months weeks Circumferential measurement in centimeters of the proximal phalanx	day 1, 6 months
Primary	Change in Pain on a likert scale 6 weeks	Baseline to 6 weeks pain on a 0-10 scale	1 day, 6 weeks
Primary	Change in Pain on a likert scale 3 months	Baseline to 3 months pain on a 0-10 scale	1 day, 3 months
Primary	Change in Pain on a likert scale 6 months	Baseline to 6 months pain on a 0-10 scale	1 day, 6 months
Primary	Change in Range of motion 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.	1 day, 6 weeks
Primary	Change in Range of motion 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.	1 day, 3 months
Primary	Change in Range of motion 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.	1 day, 6 months
Primary	Change in Severity or Grade of triggering 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	1 day, 6 weeks
Primary	Change in Severity or Grade of triggering 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	1 day, 3 months
Primary	Change in Severity or Grade of triggering 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	1 day, 6 months