A randomized controlled trial of trigger finger release under digital anesthesia with (WALANT) and without adrenaline.
Mohd Zaim Mohd Rashid, Jamari Sapuan, Shalimar Abdullah
https://pubmed.ncbi.nlm.nih.gov/30852960Actively Recruiting
Phase Not Applicable
Age: 18Years - 100Years
All Genders
ID06267105
Clinical Study to Compare Functional Results in Patients Affected by Trigger Finger When Surgery is Performed Through a Transverse or Longitudinal Surgical Incision in the Skin.
Led by Corporacion Parc Tauli · Updated on 2024-08-15
36
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
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.
CONDITIONS
Brief Title
A Clinical Study to Compare Functional Outcomes After Surgery Using a Transverse or Longitudinal Surgical Incision in the Skin.
Who Can Participate
Age: 18Years - 100Years
All Genders
Eligibility Criteria
You may qualify if you...
- 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.
You will not qualify if you...
- 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...).
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Trial Site Locations
Total: 1 location
1
Hospital Parc taulí
Sabadell, Barcelona, Spain, 08208
Actively Recruiting
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Research Team
M
Mireia Vinas
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
A prospective, randomized clinical trial of transverse versus longitudinal incisions for trigger finger release.
Nikolas H Kazmers, David Holt, Andrew R Tyser...
https://pubmed.ncbi.nlm.nih.gov/31272265Comparison of three different incision techniques in A1 pulley release on scar tissue formation and postoperative rehabilitation.
Oliver Kloeters, Dietmar J O Ulrich, Gijs Bloemsma...
https://pubmed.ncbi.nlm.nih.gov/26926477