Trigger Finger Corticosteroid Injection With and Without Local Anesthetic

Vanderbilt University Medical Center

Status and phase: Completed; Phase 4

Conditions: Trigger Finger

Treatments: Drug: Corticosteroid with normal saline; Drug: Corticosteroid with lidocaine with epinephrine

Study type: Interventional

Funder types: Other

Identifiers

NCT04023695

1064521-12

Details and patient eligibility

About

Steroid injection is the first line treatment for trigger finger. Steroid injection is sometimes mixed with a local anesthetic.

Full description

The treatment of trigger finger involves an injection of corticosteroid. Corticosteroid treats the underlying inflammatory pathology. Some surgeons add lidocaine with epinephrine as a local anesthetic with the injection. Lidocaine with epinephrine is associated with a burning sensation and may be the primary pain associated with the injection. We hypothesize that a corticosteroid injection without lidocaine with epinephrine will be less painful, and equally effective in treating trigger finger

Enrollment: 110 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• At least 18 years old with trigger finger

Exclusion criteria

• Preference for open trigger finger release
• Not a candidate for corticosteroid injection
• Contraindication to lidocaine with epinephrine

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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110 participants in 2 patient groups

Corticosteroid with lidocaine with epinephrine

Active Comparator group

Description:

This arm includes an injection mixture of corticosteroid and lidocaine with epinephrine

Treatment:

Drug: Corticosteroid with lidocaine with epinephrine

Corticosteroid with normal saline

Experimental group

Description:

This arm includes a mixture of corticosteroid and normal saline. The purpose of normal saline is the keep the volume and concentration similar when compared to the injections containing lidocaine.

Treatment:

Drug: Corticosteroid with normal saline