Trigger Finger
Conditions
Keywords
Quinell grade, Open surgery, corticosteroid injections, randomized controlled trial, Trigger finger
Brief summary
The purpose of the study is to investigate which strategy is superior in trigger finger Quinell grade IIb-V; conventional open surgery or ultrasound guided corticosteroid injections.
Interventions
Corticosteroid injections in and around A1-pulley.
Open A1-pulley release
Sponsors
Study design
Eligibility
Inclusion criteria
* Trigger finger Quinell grade IIb-V in digit I-V
Exclusion criteria
* Former treatment of Trigger finger in affected digit * Dupuytrens contracture in affected digit * Allergies or intolerance to used medications * Rheumatoid Arthritis * Insulin dependent Diabetes Mellitus * Amyloidosis * Mucopolysaccharidosis * Already included in study with another digit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quinell grade | 12 months | Dicotomized outcome defined as +/- failure. Failure defined as Quinell grade equal to or above IIb. Quinell grade defined as: I Normal movement, IIa normal movement with pain/tenderness to A1-pulley, IIb anamnestic triggering but not evident at clinical exam, III triggering without locking, IV triggering with locking but actively correctable, V Locked digit, passive correctable only. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Rating Scale (NRS) score | 12 weeks | Pain following either procedure measured by NRS (score 0-10, 10 is severe pain) |
| infection | 12 weeks | Infection occurence following either procedure |
Countries
Denmark