Endoscopic Trigger Finger Release

Cedars-Sinai Medical Center

Status: Completed

Conditions: Trigger Finger

Treatments: Procedure: Standard Open Release; Device: Endoscopic Release

Study type: Interventional

Funder types: Other

Identifiers

NCT03883477

Pro00054088

Details and patient eligibility

About

The purpose of this study is to compare recovery, scar, and patient satisfaction after retrograde endoscopic trigger finger release versus the standard open surgical treatment.

Full description

Consecutive patients presenting with trigger finger interested in surgical release of the A1 pulley will be prospectively treated with endoscopic versus open surgical release of the A1 pulley. Study measures will include scar assessment based on the Patient and Observer Scar Assessment Scale (POSAS) administered at 1 week, 1 month, and 6 months post-operatively, overall satisfaction (scale of 1 to 10), days before return to work, duration of post-operative occupational therapy, pain medication use, operative time, and complication and recurrence rates.

Enrollment: 26 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• At least 18 years old
• Trigger finger diagnosis, recommended for surgical release
• Be in good health other than the trigger finger
• Have realistic expectations of surgical results
• Be willing to undergo surgical or endoscopic treatment
• Understand and be willing to follow all aspects of the study protocol and have signed and dated the Informed Consent Form and the Authorization for Use and Release of Health and Research Study Information (HIPAA) form prior to any study-related procedures being performed

Exclusion criteria

• Collagen-vascular, connective tissue, or bleeding disorder
• Pregnancy
• Regional sympathetic dystrophy
• Abscess or infection at time of planned surgery
• Have a condition or be in a situation that, in the Investigator's opinion, may put the subject at significant risk, may confound the study results, or may interfere significantly with the subject's participation in the study

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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26 participants in 2 patient groups

Endoscopic Release

Experimental group

Description:

12 patients recommended for surgical treatment of trigger finger will undergo endoscopic release.

Treatment:

Device: Endoscopic Release

Standard Open Release

Active Comparator group

Description:

12 patients recommended for surgical treatment of trigger finger will undergo standard open surgical release.

Treatment:

Procedure: Standard Open Release