Comparing Longitudinal and Transverse Incisions for Trigger Finger Surgery A Randomized Study to Evaluate Recovery, Pain, and Scar Healing

What this Trial Is About

This trial investigates adults with trigger finger, a condition where a finger locks due to swelling around the tendons. It compares two types of skin cuts used in surgery to release the finger pulley a longitudinal incision along the finger and a transverse incision across the palm crease. The study aims to find which incision leads to better hand function, less pain, improved scar healing, and quicker return to normal activities. Participants will undergo surgery to release the pulley using one of the two incision types assigned randomly. Both surgeries follow the same techniques for the release and post-operative care. The trial will compare hand function about 6 weeks after surgery using the PROMIS Upper Extremity score. Secondary measures include pain levels, scar appearance, time to return to work, finger movement without pain, and complication rates. During the study, participants complete questionnaires about hand function and pain before and after surgery. Pain is recorded daily for the first three days and at follow-ups around 2, 6, and 12 weeks. Scars are assessed and photographed at these visits. Researchers will monitor complications and collect detailed data on recovery. The total follow-up lasts about 12 weeks after surgery to evaluate healing and satisfaction.

Prospective Randomized Trial Comparing Longitudinal vs. Transverse A1 Pulley Release