snapping finger Stenosing tenosynovitis
Conditions
Interventions
1) Apllication of maximal 2 corticosteroïd injections
2) 'open' surgical release A1 pulley
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Capacitated adults to which a treatment for their Trigger Finger will be advised at the outpatient clinic of the plastic surgery in the UMC Utrecht, The Hand Clinic Amsterdam, Diakonessenhuis Zeist, the Mesos Medical Center Utrecht, the St. Antonius Hospital Nieuwegein, the Zuwe Hofpoort Hospital Woerden and the Meander Medical Center Amersfoort.
Exclusion criteria
Exclusion criteria: - Incapacitated patients; - Patients less then 18 years of age; - Women who would like to become pregnant during the period of the trial; - Pregnant women; - Lactating women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The treatment of Trigger Fingers will be considered to be succesful when the Plastic Surgeon scores 'grade 0' in accordance with the gradation of Patel and Moradia* to the treated Trigger Finger. Alongside should the following findings be absent: A1 pulley tenderness during palpation, pain during passive extension and tenderness along the flexor tendon on resisted isometric flexion. *Patel MR, Moradia VJ. Percutaneous release of trigger digit with and without cortisone injection. J Hand Surg (Am) 1997;22A:150-155 | — |
Secondary
| Measure | Time frame |
|---|---|
| - The complications which occur after administering the corticosteroid injections in the treatment of adults with Trigger Fingers; - The complications which occur after the 'open' surgical intervention in the treatment of adults with Trigger Fingers; - The patient characteristics which are associated with a higher risk to develop a Trigger Finger (specific interest for patients with Diabetes Mellitus); - The efficacy, in percents, of the 'open' surgical intervention in the treatment of adults with Trigger Fingers when the steroid injections will not be successful; - A valid treatment protocol for adults affected with a Trigger Finger and adults affected with a Trigger Finger in a risk group, in which the most efficacy and the lowest complication risk will be found. | — |
Countries
Netherlands
Outcome results
None listed