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Trigger Finger Corticosteroid Injection With and Without Local Anesthetic

Phase 4
Completed
Conditions
Trigger Finger
Interventions
Drug: Corticosteroid with lidocaine with epinephrine
Drug: Corticosteroid with normal saline
Registration Number
NCT04023695
Lead Sponsor
Vanderbilt University Medical Center
Brief Summary

Steroid injection is the first line treatment for trigger finger. Steroid injection is sometimes mixed with a local anesthetic.

Detailed Description

The treatment of trigger finger involves an injection of corticosteroid. Corticosteroid treats the underlying inflammatory pathology. Some surgeons add lidocaine with epinephrine as a local anesthetic with the injection. Lidocaine with epinephrine is associated with a burning sensation and may be the primary pain associated with the injection. We hypothesize that a corticosteroid injection without lidocaine with epinephrine will be less painful, and equally effective in treating trigger finger

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
110
Inclusion Criteria
  • At least 18 years old with trigger finger
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Exclusion Criteria
  • Preference for open trigger finger release
  • Not a candidate for corticosteroid injection
  • Contraindication to lidocaine with epinephrine
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Corticosteroid with lidocaine with epinephrineCorticosteroid with lidocaine with epinephrineThis arm includes an injection mixture of corticosteroid and lidocaine with epinephrine
Corticosteroid with normal salineCorticosteroid with normal salineThis arm includes a mixture of corticosteroid and normal saline. The purpose of normal saline is the keep the volume and concentration similar when compared to the injections containing lidocaine.
Primary Outcome Measures
NameTimeMethod
Pain Outcome: Visual Analog ScaleAssessed after 24 hours after injection (by phone)

Assessed using the visual analog scale (0-10 scale). Zero indicates no pain, 10 indicates worst pain ever

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

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