Trigger Finger Treatment

University of Massachusetts, Worcester

Status: Completed

Conditions: Trigger Digit; Trigger Finger; Stenosing Tenosynovitis

Treatments: Other: Hand Therapy; Procedure: surgery; Other: Modality Hand Therapy; Procedure: corticosteroid injections

Study type: Observational

Funder types: Other

Identifiers

NCT03847935

H-12583

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 86 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• trigger finger in digit 2-5

Exclusion criteria

• if prior treatment for trigger finger, or Trigger thumb

Trial design

86 participants in 6 patient groups

Surgery

Description:

Patients who underwent surgical release of A1 pulley

Treatment:

Procedure: surgery

corticosteroid injections only

Description:

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

Treatment:

Procedure: corticosteroid injections

hand therapy only occupational/physical

Description:

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

Treatment:

Other: Hand Therapy

Injection and Hand therapy

Description:

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

Treatment:

Procedure: corticosteroid injections

Other: Hand Therapy

Modality Hand Therapy

Description:

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

Treatment:

Other: Modality Hand Therapy

Injection and Modality Hand Therapy

Description:

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

Treatment:

Procedure: corticosteroid injections

Other: Modality Hand Therapy