Radial versus standard approach for trigger thumb release: a randomized control trial

Status

Unknown

Phases

Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20240426003

Enrollment

114

Registered

2024-04-26

Start date

2021-01-01

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

compare the treatment outcomes by evaluating scar pain, pain during thumb motion, Kapandji score, assess the pinch strength, and evaluate the range of motion of the interphalangeal (IP) joint of the thumb between radial approach and the standard approach. Trigger thumb, A1 pulley release, radial approach

Interventions

The hand was set in the supinate position and the thumb in the radial abduct position. A small towel was placed under the thumb. The incision line was planned before local anesthetic injection. The r

s thumb in palmar abduction. Begin the dissection beneath the skin using blunt dissection techniques along the central axis to locate the A1 pulley. Once the A1 pulley is identified, separate the tiss

Experimental Procedure/Surgery,Active Comparator Procedure/Surgery

Radial approach,Standard approach

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.Patients with trigger thumb disease Grade 1-4 aged 18 years and older. 2.Patients who have had unsuccessful conservative treatment including at least one steroid injection into the tendon sheath.

Exclusion criteria

Exclusion criteria: 1.Patients with underlying diseases such as gout, rheumatoid, autoimmune diseases, and cancer. 2.Patients with osteoarthritis of the thumb. 3.Patients who have tendonitis. (tenosynovitis) 4.Patients with a history of accidents with trigger thumb. 5.Patients with severe neurological deficits in the upper extremity. 6.Carpal tunnel syndrome patients 7.Patients with arthritis of the fingers

Design outcomes

Primary

Measure	Time frame
Scar pain 2,6,12 weeks after surgery numeric rating scale	—

Secondary

Measure	Time frame
Pain on Range of motion 2,6,12 weeks after surgery Numeric rating scales,Range of motion IP joint of thumb 2,6,12 weeks after surgery degree,pinch strength 2,6,12 weeks after surgery Kilograms,Kapandji score 2,6,12 weeks after surgery Numbers,Operative time 2,6,12 weeks after surgery mins,Complications 2,6,12 weeks after surgery -	—

Countries

Thailand

Contacts

Public ContactSakdinun Imsuwan

Orthopedic Division, Phramongkutklao Hospital

sakdinun19@gmail.com0982658291

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026