Trigger Finger Treatment

Completed

• Conditions: Stenosing Tenosynovitis; Trigger Finger; Trigger Digit
• Interventions: Procedure: corticosteroid injections; Procedure: surgery; Other: Modality Hand Therapy; Other: Hand Therapy

• Registration Number: NCT03847935
• Lead Sponsor: University of Massachusetts, Lowell

Brief Summary

Trigger finger is a common disorder of the hand which causes pain at the A1 pulley, inflammation, stiffness and/or snapping during movement. This observational study compared all of the possible treatments and combinations of treatments for trigger finger at the A1 pulley, including surgery, cortisone injections and hand therapy.

Detailed Description

Trigger finger is a common disorder of the hand which causes pain at the A1 pulley, inflammation, stiffness or snapping during movement. This can be very debilitating. Current treatment includes local steroid injection, oral NSAIDS, resting orthoses, physical or occupational therapy and surgical intervention. The aim of this prospective study with an observational design was to determine the outcome between surgical, hand therapy rehabilitation, and corticosteroid injection interventions for trigger finger. There were 6 treatment groups: surgery, corticosteroid injection, 1 visit of hand therapy for orthosis fabrication and therapeutic exercise, hand therapy in combination with cortisone injection, Modality hand therapy alone (ongoing visits) or with corticosteroid injections.

Study Timeline

• Study Start: 2007-12-10
• Primary Completion: 2012-12-08
• Study Completion: 2012-12-08
• Status Verified: 2019-02
• Study First Submitted: 2019-02-08
• Study First Submitted QC: 2019-02-18
• Last Update Submitted: 2019-02-18
• Study First Posted: 2019-02-20
• Last Update Posted: 2019-02-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 86

Inclusion Criteria

• trigger finger in digit 2-5

Exclusion Criteria

• if prior treatment for trigger finger, or Trigger thumb

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
corticosteroid injections only	corticosteroid injections	Patients who underwent local corticosteroid injections only, and no other treatment
Injection and Modality Hand Therapy	corticosteroid injections	Ccombination of local cortiscosteroid injection to the affected digit and ongoing hand therapy with modalities.
Injection and Modality Hand Therapy	Modality Hand Therapy	Ccombination of local cortiscosteroid injection to the affected digit and ongoing hand therapy with modalities.
Surgery	surgery	Patients who underwent surgical release of A1 pulley
Injection and Hand therapy	corticosteroid injections	This group of participants received a combination of corticosteroid injection in the affected finger and one visit of hand therapy.
Injection and Hand therapy	Hand Therapy	This group of participants received a combination of corticosteroid injection in the affected finger and one visit of hand therapy.
hand therapy only occupational/physical	Hand Therapy	1 visit: orthosis fabrication, range of motion, nodule and ice massage.
Modality Hand Therapy	Modality Hand Therapy	Ongoing hand therapy treatment, which included the above plus modalities such as ultrasound or iontophoresis.

Primary Outcome Measures

Name	Time	Method
Change in Pain on a likert scale 6 months	1 day, 6 months	Baseline to 6 months pain on a 0-10 scale
Change in Edema 6 months	day 1, 6 months	Baseline to 6 months weeks Circumferential measurement in centimeters of the proximal phalanx
Change in Range of motion 3 months	1 day, 3 months	Baseline to 3 months flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.
Change in Severity or Grade of triggering 6 weeks	1 day, 6 weeks	Baseline to 6 weeks Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion
Change in Range of motion 6 weeks	1 day, 6 weeks	Baseline to 6 weeks flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.
Change in Edema 6 weeks	day 1, 6 weeks	Baseline to 6 weeks Circumferential measurement in centimeters of the proximal phalanx
Change in Functional use using Quick DASH 6 weeks	Day 1, 6 weeks	Change from baseline to 6 weeks Quick DASH
Change in Edema 3 months	day 1, 3 months	Baseline to 3 months weeks Circumferential measurement in centimeters of the proximal phalanx
Change in Pain on a likert scale 6 weeks	1 day, 6 weeks	Baseline to 6 weeks pain on a 0-10 scale
Change in Severity or Grade of triggering 3 months	1 day, 3 months	Baseline to 3 months Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion
Change in Functional use using Quick DASH 3 months	Day 1, 3 months	Change from baseline to 3 months Quick DASH
Change in Functional use using Quick DASH 6 months	Day 1, 6 months	Change from baseline to 6 months Quick DASH
Change in Pain on a likert scale 3 months	1 day, 3 months	Baseline to 3 months pain on a 0-10 scale
Change in Severity or Grade of triggering 6 months	1 day, 6 months	Baseline to 6 months Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion
Change in Range of motion 6 months	1 day, 6 months	Baseline to 6 months flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.