protocolSection identificationModule nctId: NCT06288685, orgStudyIdInfo id: 73/256, secondaryIdInfos id: 73/256, type: OTHER, domain: Police General Hospital, briefTitle: Percutaneous Trigger Finger Release Concomitant Steroid Injection Versus Percutaneous Trigger Finger Release Alone, statusModule overallStatus: COMPLETED, startDateStruct date: 2023-10-11, primaryCompletionDateStruct date: 2024-01-23, completionDateStruct date: 2024-01-30, studyFirstPostDateStruct date: 2024-03-01, lastUpdatePostDateStruct date: 2024-03-12, sponsorCollaboratorsModule leadSponsor name: Police General Hospital, Thailand, class: OTHER, descriptionModule briefSummary: Background:Percutaneous A1 pulley release is a cost-effective and straightforward procedure with outcomes comparable to open A1 pulley release. Postoperative pain is a prevalent concern. Corticosteroid injection is a common nonoperative treatment for trigger finger, providing favorable outcomes but associated with a notable risk of recurrence. Numerous studies have explored the combined approach of percutaneous trigger finger release with corticosteroid injection. However, to date, there is no report on early postoperative results.Objective:To conduct a comparative analysis of early postoperative outcomes between percutaneous A1 pulley release with steroid injection and percutaneous A1 pulley release alone.Study Design \& Methods:This study constitutes a randomized controlled trial involving patients with trigger finger who underwent percutaneous release surgery from October 2023 to January 2024. A total of 38 patients were enrolled, with 18 assigned to the percutaneous A1 pulley release with steroid injection group and 20 to the percutaneous A1 pulley release alone group. Postoperative assessments included pain scores using the Visual Analog Scale (VAS), evaluation of quality of life through the QuickDASH score (qDASH), patient satisfaction, and complications., conditionsModule conditions: Trigger Finger, conditions: Percutaneous A1 Pulley Release, conditions: Steroid Injection, conditions: Postoperative Pain, designModule studyType: INTERVENTIONAL, phases: PHASE3, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: Patients diagnosed with trigger finger, aged 18 years or older, and classified under Quinell's grade 2, 3, or 4, were included in the study \[ \]. Recruitment took place at the Outpatient Orthopedic Department of the Police General Hospital between October 2023 and January 2024. Exclusion criteria encompassed individuals with a history of prior hand surgery, Dupuytren's disease, type 1 diabetes, previous phalangeal fractures, recent steroid injection within the last month, and autoimmune diseases., primaryPurpose: TREATMENT, maskingInfo masking: DOUBLE, maskingDescription: Group allocation and Randomization:Patients were enrolled and randomized into two groups, percutaneous A1 pulley release with steroid injection (Group A) and percutaneous A1 pulley release alone (Group B), by utilizing computer generate randomization and the results were put in opaque sealed envelopes. Informed consent was obtained from all participants, and surgeries were performed by the same surgeon (WJ)., whoMasked: PARTICIPANT, whoMasked: CARE_PROVIDER, enrollmentInfo count: 38, type: ACTUAL, armsInterventionsModule interventions name: percutaneous A1 pulley release, interventions name: Triamcinolone, outcomesModule primaryOutcomes measure: postoperative pain score, secondaryOutcomes measure: hand function by quickDASH, secondaryOutcomes measure: patients satisfaction, eligibilityModule sex: ALL, minimumAge: 18 Years, maximumAge: 90 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Police General Hospital, city: Bangkok, state: Pathumwan, zip: 10330, country: Thailand, geoPoint lat: 13.75398, lon: 100.50144, hasResults: False