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.

Trigger Finger Treatment

Trigger Finger

Trigger Digit

Stenosing Tenosynovitis

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.

surgery

corticosteroid injections

Hand Therapy

Modality Hand Therapy

Trigger Finger Treatment - An Outcomes Study. Comparing 6 Traditional Treatment Techniques

Change from baseline to 6 weeks Quick DASH

Change from baseline to 3 months Quick DASH

Change from baseline to 6 months Quick DASH

Baseline to 6 weeks Circumferential measurement in centimeters of the proximal phalanx

Baseline to 3 months weeks Circumferential measurement in centimeters of the proximal phalanx

Baseline to 6 months weeks Circumferential measurement in centimeters of the proximal phalanx

Baseline to 3 months pain on a 0-10 scale

Baseline to 6 months pain on a 0-10 scale

Baseline to 6 weeks flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

Baseline to 3 months flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

Baseline to 6 months flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

Baseline to 6 weeks Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

Baseline to 3 months Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

Baseline to 6 months Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

Associate Professor

Patients who underwent surgical release of A1 pulley

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

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

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

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

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

Trigger Finger Treatment

About this trial

Study ID

Status

Type

Placebo

Accepting

Not accepting

Trial Timing

What is this trial about?

What are the participation requirements?