Functional Disturbance as Result
Conditions
Brief summary
Trigger finger is a common pathology in the hand. Patients suffer from pain and depending on which tasks, patients have difficulty to perform them. Its treatment in initial and less serious phases includes conservative measures, but failure of these may require releasing the trigger finger with surgery. The surgical technique performed for trigger finger is the opening of the A1 pulley, the skin incisions used for this surgery are various (transverse, longitudinal, oblique). Trigger finger surgery presents good results in terms of resolution, but complications may also occur. The reason for this study is to assess whether there are functional differences using the Dash scale when we perform a transverse or longitudinal incision in trigger finger surgery.
Interventions
PROCEDURELongitudinal incision
Incision performed longitudinally
PROCEDURETransverse incision
Incision performed transversally
Sponsors
Corporacion Parc Tauli
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Patients over 18 years of age. * Clinical diagnosis of trigger finger grade II to IV. Grade I (pre-trigger) Pain, history of entrapment, but not demonstrable on physical examination, tenderness over the A1 pulley. Grade II (active) Demonstrable entrapment, but the patient can actively extend the finger. Grade III (passive) Demonstrable entrapment, patient requires passive extension IIIA or inability to actively flex IIIB. Grade IV (contracture) Demonstrable entrapment with fixed flexion contracture of the PIP.
Exclusion criteria
* Thumb * Polydigital * Allergy to local anesthetics and/or vasoconstrictor agents. * Previous surgery * Patients who, in the researcher's opinion, are not good candidates for the study (e.g. inability to comply with the follow-up program, comorbidity, poor physical or mental health in general, drug or alcohol abuse problems...).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional improvement of the patient after surgery | Immediately after surgery | functional improvement of the patient after surgery, which will be assessed with the Dash scale, 1 being difficult while 5 being unable |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Resolution | 1, 3 and 6 months | Presence or absence of engagment |
| Flushed | 1, 3 and 6 months | Red or not red |
| Pain feeling | 1, 3 and 6 months | EVA scale from 0 to 10, being 10 a lot of pain |
| Contracture | 1, 3 and 6 months | Range of motion in degrees |
| Surgeon comfort | Immediately after surgery | Ecellent, good, poor |
| Nerve injury | 1, 3 and 6 months | Allen test to evaluate correct circulation, the hand should turn white when pressing |
| Return to work | 1, 3 and 6 months | How many weeks after surgery |
| Reincorporation to activities | 1, 3 and 6 months | How many weeks after surgery |
| Sensitivity Test | 1, 3 and 6 months | In a scale from 0 to 10 |
| Infection | 1, 3 and 6 months | Septic signs such the area is red, hot, swelling or has drain pus |
Countries
Spain
Contacts
Primary ContactMireia Vinas
Outcome results
None listed