Actively Recruiting
Efficacy of Ultrasound-Guided Tri-Directional Needle Knife Release for Trigger Finger
Led by Mohamed Maher Ismail Ahmed Elashmawy · Updated on 2025-01-27
46
Participants Needed
1
Research Sites
27 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effectiveness and safety of a minimally invasive procedure called ultrasound-guided tri-directional needle knife release for patients with trigger finger who have not improved with conservative treatments. Trigger finger occurs due to thickening of the A1 pulley, causing pain, stiffness, and limited hand movement. This study focuses on improving hand function, reducing pain, increasing finger mobility, and overall patient satisfaction. The procedure uses ultrasound guidance for precise and safe dissection of the thickened A1 pulley under local anesthesia with lidocaine and bupivacaine. The device used is the Sonosite M-Turbo Ultrasound Machine with a linear probe for real-time imaging. This treatment aims to minimize risks and improve recovery compared to conventional methods. Participants will be monitored over six months to assess improvements in hand and finger function, pain levels, and finger mobility. Researchers will also track patient satisfaction and any complications related to the procedure. Follow-up visits will ensure proper recovery and evaluate treatment outcomes throughout this period.
CONDITIONS
Brief Title
Efficacy of Ultrasound-Guided Needle Knife Release for Trigger Finger
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Idiopathic trigger finger at the A1 pulley
- Trigger finger of Green's grade II, III, or IV (moderate to severe)
- Symptoms lasting at least three months despite conservative treatments
- Ability to provide informed consent and follow study visits
You will not qualify if you...
- Secondary trigger finger due to diabetes, rheumatoid arthritis, gout, hypothyroidism, amyloidosis, or sarcoidosis
- Trigger finger of Green's grade I
- Previous surgery on the affected finger
- Allergy or contraindication to local anesthetics
- Pregnancy or breastfeeding
- Unable to comply with follow-up visits and assessments
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Single procedure
Participants undergo a single ultrasound-guided tri-directional needle knife release procedure under local anesthesia to treat trigger finger.
1 visit (in-person)
Duration - 6 months
Participants are monitored for improvement in hand function, pain reduction, finger mobility, patient satisfaction, and any procedure-related complications.
Multiple follow-up visits over 6 months
Trial Site Locations
Total: 1 location
1
Mansoura University Hospital
Al Mansurah, Dakahlia Governorate, Egypt, 35516
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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