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The efficacy of Trigger Finger treatment: a randomised, controlled, prospective clinical multicenter trial.

Recruiting
Conditions
1. Trigger Finger
<br /> 2. Stenosing tenosynovitis
<br /> 3. Corticosteroid injection
<br /> 4. 'open' surgical intervention
<br />(NLD: Trigger Finger, Stenosing tenosynovitis, Corticosteroïd injectie, 'open' chirurgische ingreep).
Registration Number
NL-OMON28338
Lead Sponsor
A.S.E. EsschendalSecretariaat Plastische Chirurgie UMC Utrechtkamer G04.122Postbus 855003508 GA UtrechtE-mail: Eva_Esschendal@hotmail.comTel: +31 30 250 6954Fax: +31 30 251 6097
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
490
Inclusion Criteria

Capacitated adults to which a treatment for their Trigger Finger will be advised at the outpatient clinic of the plastic surgery in the UMC Utrecht, The Hand Clinic Amsterdam, Diakonessenhuis Zeist, the Mesos Medical Center Utrecht, the St. Antonius Hospital Nieuwegein, the Zuwe Hofpoort Hospital Woerden and the Meander Medical Center Amersfoort.

Exclusion Criteria

1. Incapacitated patients;

2. Patients less then 18 years of age;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The treatment of Trigger Fingers will be considered to be succesful when the Plastic Surgeon scores 'grade 0' in accordance with the gradation of Patel and Moradia* to the treated Trigger Finger. Alongside should the following findings be absent: A1 pulley tenderness during palpation, pain during passive extension and tenderness along the flexor tendon on resisted isometric flexion.<br /><br><br /><br /><br>*Patel MR, Moradia VJ. Percutaneous release of trigger digit with and without cortisone injection. J Hand Surg (Am) 1997;22A:150-155.
Secondary Outcome Measures
NameTimeMethod
1. The complications which occur after administering the corticosteroid injections in the treatment of adults with Trigger Fingers; <br /><br>2. The complications which occur after the 'open' surgical intervention in the treatment of adults with Trigger Fingers;<br /><br>3. The patient characteristics which are associated with a higher risk to develop a Trigger Finger (specific interest for patients with Diabetes Mellitus);<br /><br>4. The efficacy, in percents, of the 'open' surgical intervention in the treatment of adults with Trigger Fingers when the steroid injections will not be successful;<br /><br>5. A valid treatment protocol for adults affected with a Trigger Finger and adults affected with a Trigger Finger in a risk group, in which the most efficacy and the lowest complication risk will be found.
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