Surgical Techniques for Trigger Finger
What You Need to Know Before You Apply
What is the purpose of this trial?
The goal of this clinical trial is to compare two different skin incisions used in surgery to treat trigger finger in adult patients. Trigger finger occurs when a finger gets stuck or locks because of swelling of the sheath around the tendons the help move the fingers. The main questions it aims to answer are (1) Does the type of skin cut affect how well the hand works 6 weeks after surgery? (2) Does the type of skin cut affect pain levels, scar healing, and how quickly people return to their normal activities? Orthopaedic surgeons will compare a straight incision along the finger (longitudinal incision) to a incision across the crease in the palm (transverse incision) to see if one type of incision results in better recovery, less pain, a better scar, and higher patient satisfaction with the procedure. Participants who have trigger finger and are indicated for surgery will have surgery to release the pulley in their finger using one of the two types of incisions (assigned by chance). Participants will fill out questionnaires about their hand function and pain before surgery and at follow-up visits. Participants will have their scar checked and rated at about 2, 6, and 12 weeks after surgery, and report on their pain for the first few days after surgery and when they can return to work and move their finger without pain.
Who Is on the Research Team?
Jason Strelzow, MD
Principal Investigator
Associate Professor, Orthopaedic Surgery Division of Hand and Microsurgery, Washington University in St Louis
Ryan Calfee, MD
Principal Investigator
Professor, Orthopaedic Surgery Division of Hand and Microsurgery Chief, Hand and Microsurgery Service Medical Director, Washington University and Barnes-Jewish Orthopedic Center
Nisha N Kale, MD
Principal Investigator
Washington University in St. Louis Department of Orthopaedic Surgery
Are You a Good Fit for This Trial?
Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Surgery
Participants undergo A1 pulley release surgery using either a longitudinal or transverse incision
Post-operative Monitoring
Participants report pain and have their scar assessed at follow-up visits
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Open A1 Pulley Release
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Participants randomized to this arm will undergo standard open A1 pulley release for trigger finger using a transverse incision placed in the distal palmar crease.
Participants randomized to this arm will undergo standard open A1 pulley release for trigger finger using a longitudinal incision along the axis of the finger.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Washington University School of Medicine
Lead Sponsor
University of Chicago
Collaborator
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