Trigger Finger Treatment

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

86 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-12-10

Study Completion Date

2012-12-08

Brief Summary

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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.

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Detailed Description

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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.

Conditions

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Trigger Finger Trigger Digit Stenosing Tenosynovitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Surgery

Patients who underwent surgical release of A1 pulley

surgery

Intervention Type PROCEDURE

A1 pulley release of finger

corticosteroid injections only

Patients who underwent local corticosteroid injections only, and no other treatment

corticosteroid injections

Intervention Type PROCEDURE

corticosteroid injection to A1 pulley

hand therapy only occupational/physical

1 visit: orthosis fabrication, range of motion, nodule and ice massage.

Hand Therapy

Intervention Type OTHER

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education,

Injection and Hand therapy

This group of participants received a combination of corticosteroid injection in the affected finger and one visit of hand therapy.

corticosteroid injections

Intervention Type PROCEDURE

corticosteroid injection to A1 pulley

Hand Therapy

Intervention Type OTHER

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education,

Modality Hand Therapy

Ongoing hand therapy treatment, which included the above plus modalities such as ultrasound or iontophoresis.

Modality Hand Therapy

Intervention Type OTHER

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education, plus modalities such as ultrasound, iontophoresis

Injection and Modality Hand Therapy

Ccombination of local cortiscosteroid injection to the affected digit and ongoing hand therapy with modalities.

corticosteroid injections

Intervention Type PROCEDURE

corticosteroid injection to A1 pulley

Modality Hand Therapy

Intervention Type OTHER

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education, plus modalities such as ultrasound, iontophoresis

Interventions

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surgery

A1 pulley release of finger

Intervention Type PROCEDURE

corticosteroid injections

corticosteroid injection to A1 pulley

Intervention Type PROCEDURE

Hand Therapy

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education,

Intervention Type OTHER

Modality Hand Therapy

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education, plus modalities such as ultrasound, iontophoresis

Intervention Type OTHER