A Comparative Study of Hand Function and Scar-Related Health-Related Quality of Life in Trigger Finger Release

Status: Completed
Location: See location...
Intervention Type: Procedure
Study Type: Observational
SUMMARY

Trigger finger is a common upper limb impairment associated with a significant decrease in quality of life, hand dexterity and strength as well as increased pain while complying daily activities of living. Trigger finger can be managed through the surgical release of the ligaments in the affected finger. The open surgical release of trigger finger can be accomplished through multiple incision types. As such, each incision may present different risks of harming or disturbing the underlying anatomy in the hand. This study aims to assess the variation in three incisional techniques (oblique, transverse and vertical) to determine which incision is preferential to improve scar aesthetics, increase hand function and minimize complications. Patients will be observed following surgery and information about hand function and quality of life will be obtained through the administration of questionnaires. Data will be collected at four time-points, one prior to and three following surgery.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
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• 18 years of age or older

• Trigger finger release of the 2nd, 3rd, 4th, or 5th finger

• Diagnosed stenosing tenosynovitis or trigger finger prior to release

• Able to understand and communicate English

Locations
Other Locations
Canada
St. Joseph's Healthcare
Hamilton
Time Frame
Start Date: 2019-06-10
Completion Date: 2024-06-18
Participants
Target number of participants: 75
Treatments
Transverse incision
At the level of the A1 pulley, a transverse incision will be made and the flexor pulley will be exposed with blunt dissection. The pulley will be transected and the wound will subsequently be closed with 4.0 Monocryl after ensuring complete release
Oblique incision
At the level of the A1 pulley, a oblique incision will be made and the flexor pulley will be exposed with blunt dissection. The pulley will be transected and the wound will subsequently be closed with 4.0 Monocryl after ensuring complete release.
Vertical incision
At the level of the A1 pulley, a vertical incision will be made and the flexor pulley will be exposed with blunt dissection. The pulley will be transected and the wound will subsequently be closed with 4.0 Monocryl after ensuring complete release.
Sponsors
Leads: McMaster University

This content was sourced from clinicaltrials.gov