Efficacy of Ultrasound-Guided Tri-Directional Needle Knife Release for Trigger Finger
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Improvement in hand and finger function
研究概览
简要总结
Efficacy of ultrasound-guided tri-directional needle knife release in treating patients with trigger finger. The study evaluates safety, effectiveness, and recovery outcomes of a minimally invasive procedure compared to conventional approaches.
详细描述
This is a clinical trial designed to investigate the efficacy and safety of ultrasound-guided tri-directional needle knife release in patients with trigger finger, especially those patients for whom conservative treatments have failed. Trigger finger is caused by of thickening of the A1 pulley, leading to pain and stiffness, which results in limitation of the hand. The procedure will be carried out under local anesthesia and guided by ultrasound to be very accurate and safe, avoiding all possible risks. Patients will be assessed for better improvement in hand functioning, pain scale basing on visual analog scale, and above all patient overall satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Idiopathic TF at the level of A1 pulley
- •Trigger finger of Green's grades II or III or IV (moderate to severe)
- •Symptoms persist for at least three months despite conservative treatments.
- •Ability to provide informed consent and comply with follow-up requirements.
排除标准
- •Patients with secondary causes of TF like diabetes mellitus, rheumatoid arthritis, gout, hypothyroidism, amyloidosis, and sarcoidosis.
- •Patients with TF of Green's grade I.
- •Previous surgical intervention on the affected digit.
- •Allergy or contraindication to local anesthetics.
- •Pregnancy or lactation.
- •Inability to comply with follow-up assessments.
研究组 & 干预措施
Ultrasound-Guided Tri-directional Needle Knife Release Group
Participants will undergo ultrasound- guided tri-directional needle knife release for treatment of trigger finger. Local anesthesia using 3-5 ml of 1% lidocaine and 0.25% bupivacaine will be administered for patient comfort. This procedure involves precise ultrasound guidance to ensure accurate and safe dissection of the thickened A1-Pulley.
干预措施: Tri-directional Ultrasound-guided Needle Knife Release (Procedure)
结局指标
主要结局
Improvement in hand and finger function
时间窗: 6 months
Functional improvement evaluation using the QuickDASH score (0-100 scale)
Reduction in Pain scores post-procedure
时间窗: 6 months
Evaluating of the effectiveness of ultrasound-guided tri-directional needle knife release in reducing pain scores among patients with trigger finger using the Visual Analog Scale (VAS) (scale 0-10)
Improvement of finger mobility
时间窗: 6 months
Measurment of joint mobility in degrees at MCP and PIP joints using goniometer.
次要结局
- Rate of procedure-related complications(6 months)
- Patient Satisfaction with the procedure(6 months)
研究者
Mohamed Maher Ismail Ahmed Elashmawy
Lecturer of Rheumatology, Physical Medicine and Rehabilitation
Mansoura University Hospital