Minimally Invasive Surgery, Trigger Finger, Trigger Thumb
Conditions
Brief summary
This is a prospective randomized multicenterstudy focusing on PROMs after primary corticoid injection for triggerfinger with a comparison of two different injection techniques.
Detailed description
This study aims to compare two different methods of corticosteroid injections in patients with triggerfinger, and to study the effects of these injections by day-to-day self-assessment by the included study persons for four weeks. The patient assess: 1. Pain 2. Motion and 3. Triggering by VAS scale every day for four weeks.
Interventions
Injection of methyl prednisone and lidocaine in the tendon sheet at the level of the proximal phalanx
Injection of methyl prednisone and lidocaine in the tendon sheet volar to the MCP-joint
Sponsors
Study design
Intervention model description
Prospective randomized controlled trial
Eligibility
Inclusion criteria
• 1. Triggering of one or more fingers and/or impaired active finger motion and/or pain during active finger motion 2. Localized tenderness volar to the MCP joint of the affected finger 3. The patient seeks treatment
Exclusion criteria
1. Previous treatment for triggerfinger in the finger to be treated 2. Impaired function of finger due to previous trauma/infection or other condition 3. Suspicion of other cause than triggeriinger/tendovaginitis 4. Patient not able to follow instructions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain after injection | Four weeks | Visual analouge scale (VAS), range 0-10, where 0 indicates "no pain" and 10 "maximum pain" |
| Impairment of finger motion | Four weeks | Visual analouge scale (VAS), range 0-10, where 0 indicates "no impairment" and 10 "maximum impairment" |
| Triggering | Four weeks | Visual analouge scale (VAS), range 0-10, where 0 indicates "no trigger phenomenon" and 10 "Trigger phenomenon all the time/ locked finger" |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quick-DASH | Four weeks | generic handquestionaire, 11 items, 0 means normal hand function, 100 most impaired function |
Countries
Sweden