Clinical trial NCT06785935: Comparison Between 2 Treatment Modalities of Trigger Finger: Ultrasound-guided Percutaneous Release of A1 Pulley by a Needle Knife Versus Ultrasound-guided Corticosteroid Injection in the Treatment of Trigger Finger
Official title: Ultrasound-guided Percutaneous Release of A1 Pulley by a Needle Knife Versus Ultrasound-guided Corticosteroid Injection in the Treatment of Trigger Finger: a Randomized Clinical Trial
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Trigger Finger
Lead sponsor: Mansoura University Hospital
Sponsor class: OTHER
First posted: 2025-01-21
Enrollment: 40
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Trigger finger is a common cause of hand disability and pain in the general population. It is a pathologic condition of the digital pulleys and flexor tendons. Although the pathogenesis is incompletely clear and multifactorial, the most common cause of the trigger finger is the thickened flexor tendon and/or thickened first annular (A1) pulley located at the metacarpophalangeal joint. Currently, ultrasound is considered an effective and valuable tool for assessing the trigger finger, providing static and dynamic evaluations of this condition and a comparison with the adjacent normal digits. Recently, it has been reported that ultrasound-guided percutaneous A1 pulley precise release using a needle knife has received increasing attention in the clinical treatment of trigger fingers and achieved good results. To our knowledge, this is the first clinical study comparing the efficacy and safety of ultrasonic-guided percutaneous A1 pulley release with a needle knife and the ultrasonic-guided steroid injection in treating trigger fingers.


Eligibility criteria: Inclusion Criteria:

* Idiopathic trigger finger
* Trigger finger at the level of A1 pulley
* Trigger finger of Green's grades II or III

Exclusion Criteria:

* Patients with secondary causes of trigger fingers like diabetes mellitus, rheumatoid arthritis, gout, hypothyroidism, amyloidosis, and sarcoidosis.
* Patients with a previous history of first annular pulley release or injection.
* Patients with trigger fingers of Green's grade I and IV.
* Patients with trigger fingers at any level other than the A1 pulley.

Primary outcomes:
measure: Pain intensity using the visual analog scale (VAS) scoring system
timeFrame: Before the procedure as well as after one week, one month, and three months
measure: Functional ability according to the standard quick disabilities of the arm, shoulder, and hand score (Q DASH) questionnaire
timeFrame: Before the procedure as well as after one week, one month, and three months
measure: Recurrence: The grade of trigger finger according to Green's classiﬁcation
timeFrame: Before the procedure as well as after one week, one month, and three months
measure: Complications such as inflammation, infection, scarring, wound healing problems, and sensory changes
timeFrame: After one week of the procedure
Secondary outcomes:
Other outcomes:
Locations:
city: Mansoura
country: Egypt
facility: Mansoura University Hospitals
Study officials:
References: