Trigger Finger Disorder
Conditions
Brief summary
The goal of this clinical trial is to learn if platelet rich plasma works to treat early stage trigger finger in adults. It will also learn about the safety platelet rich plasma. The main questions it aims to answer are: Does platelet rich plasma lower the pain associated with trigger finger of participants? Does it improve the hand grip strength and Q DASH score of participants? Researchers will compare platelet rich plasma to Depo-Medrol steroid (a known standard of care for early stage trigger finger) to see if platelet rich plasma works to treat early trigger finger. Participants will: Take platelet rich plasma or a depo-medrol steroid intralesional injection at recruitment into the intervention Visit the clinic once every 4 weeks for checkups and parameter measurements. Investigator will will keep a record of participants progress in symptom remission
Interventions
Freshly prepared autologus platelet rich plasma
Methylprednisolone acetate 20mg/ml injection
Sponsors
Study design
Masking description
All participants will have the same assessment and have blood drawn for CBC. Opaque tape masking of the syringes will be done so that care giver and patients are not aware of interventional drug given.
Eligibility
Inclusion criteria
* Patients who are 18year and above with mild or moderate trigger finger, who are willing to have intra-lesional administration of blood product. No previous treatment for the affected finger.
Exclusion criteria
* Previous steroid injection * Previous Surgery to that finger * Thrombocytopenic patients * Hand and finger contracture * Rheumatoid arthritis of the finger
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| symptom resolution post injection | 3 months | reduction of pain using VAS and absence snapping of finger |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hand grip strength | 3 month | measured grip using hand dynamomter |
| Q- DASH score | 3month | 11-item self reported disability questionnaire that consider upper extremity as one functional unit |