Groningen Hand and Wrist Injection Therapy Trial (HAWITT).
Completed
- Conditions
- tenosynovitis, trigger finger, trigger digit, carpal tunnel syndrome
- Registration Number
- NL-OMON22395
- Lead Sponsor
- Department of General PracticeUniversity Medical CenterUniversity of Groningen
- Brief Summary
/A
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 120
Inclusion Criteria
Patients in primary care presenting with a clinical diagnosis of trigger finger, de Quervain's tenosynovitis or carpal tunnel syndrome.
Exclusion Criteria
1. Minor age;
2. Absolute contra-indication for steroid injection;
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Patients perceived recovery (7-points numeric rating scale: from much worse to much better as compared to pre-treatment);<br /><br><br>2. Severity of pain/ main complaint (11 point numeric rating scale: 0-10, CTS: severity of symptoms according to the Boston Carpal tunnel questionnaire);<br /><br><br>3. TF: triggering and/or clicking and/or locking (4 point ordinal scale: 0= never, 1=incidental, 2=weekly, 3=daily, 4=always);<br /><br><br>4. Functional impairment:<br /><br>a. TF/ MdeQ: Arthitis Impact Measurement Scale 2 (AIMS 2), subitems hand-and finger function;<br /><br>b. CTS: functional impairment according to the Boston Carpal tunnel questionnaire;<br /><br><br>Timing of measurements: 1 week after last injection and follow-up 1,3,6 and 12 months after intervention.
- Secondary Outcome Measures
Name Time Method 1. Occurrence of short and longterm side-effects and serious adverse events: questions regarding the occurrence of steroid-flare, flushes, menstrual abnormalities,hyperglycemia in diabetic patients and questions regarding presence/absence of clinical signs suggesting fat-atrophy, tendon-rupture and median-neuritis (in CTS);<br /><br><br>2. Recurrences (when and how many), management of recurrences;<br /><br><br>3. Patient satisfaction with injection-therapy (follow-up at 1 month, 7-point numeric scale: 0=very dissatisfied, 6=very satisfied);<br /><br>4. Treatment-preferences after undergoing treatment (no treatment, physical therapy, wrist-splinting, injection therapy with steroid, operation);<br /> <br><br>Timing of measurements: 1 week after last injection and follow-up 1,3,6 and 12 months after intervention.