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Radial versus standard approach for trigger thumb release: a randomized control trial

Phase 3
Recruiting
Conditions
compare the treatment outcomes by evaluating scar pain, pain during thumb motion, Kapandji score, assess the pinch strength, and evaluate the range of motion of the interphalangeal (IP) joint of the thumb between radial approach and the standard approach.
Trigger thumb, A1 pulley release, radial approach
Registration Number
TCTR20240426003
Lead Sponsor
Orthopedic Division, Phramongkutklao Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
114
Inclusion Criteria

1.Patients with trigger thumb disease Grade 1-4 aged 18 years and older.
2.Patients who have had unsuccessful conservative treatment including at least one steroid injection into the tendon sheath.

Exclusion Criteria

1.Patients with underlying diseases such as gout, rheumatoid, autoimmune diseases, and cancer.
2.Patients with osteoarthritis of the thumb.
3.Patients who have tendonitis. (tenosynovitis)
4.Patients with a history of accidents with trigger thumb.
5.Patients with severe neurological deficits in the upper extremity.
6.Carpal tunnel syndrome patients
7.Patients with arthritis of the fingers

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Scar pain 2,6,12 weeks after surgery numeric rating scale
Secondary Outcome Measures
NameTimeMethod
Pain on Range of motion 2,6,12 weeks after surgery Numeric rating scales,Range of motion IP joint of thumb 2,6,12 weeks after surgery degree,pinch strength 2,6,12 weeks after surgery Kilograms,Kapandji score 2,6,12 weeks after surgery Numbers,Operative time 2,6,12 weeks after surgery mins,Complications 2,6,12 weeks after surgery -
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