RecruitingNot ApplicableNCT06267105

A Clinical Study to Compare Functional Outcomes After Surgery Using a Transverse or Longitudinal Surgical Incision in the Skin.

Clinical Study to Compare Functional Results in Patients Affected by Trigger Finger When Surgery is Performed Through a Transverse or Longitudinal Surgical Incision in the Skin.


Sponsor

Corporacion Parc Tauli

Enrollment

36 participants

Start Date

May 15, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Trigger finger is a common pathology in the hand. Patients suffer from pain and depending on which tasks, patients have difficulty to perform them. Its treatment in initial and less serious phases includes conservative measures, but failure of these may require releasing the trigger finger with surgery. The surgical technique performed for trigger finger is the opening of the A1 pulley, the skin incisions used for this surgery are various (transverse, longitudinal, oblique). Trigger finger surgery presents good results in terms of resolution, but complications may also occur. The reason for this study is to assess whether there are functional differences using the Dash scale when we perform a transverse or longitudinal incision in trigger finger surgery.


Eligibility

Min Age: 18 YearsMax Age: 100 Years

Inclusion Criteria6

  • Patients over 18 years of age.
  • Clinical diagnosis of trigger finger grade II to IV.
  • Grade I (pre-trigger) Pain, history of entrapment, but not demonstrable on physical examination, tenderness over the A1 pulley.
  • Grade II (active) Demonstrable entrapment, but the patient can actively extend the finger.
  • Grade III (passive) Demonstrable entrapment, patient requires passive extension IIIA or inability to actively flex IIIB.
  • Grade IV (contracture) Demonstrable entrapment with fixed flexion contracture of the PIP.

Exclusion Criteria5

  • Thumb
  • Polydigital
  • Allergy to local anesthetics and/or vasoconstrictor agents.
  • Previous surgery
  • Patients who, in the researcher's opinion, are not good candidates for the study (e.g. inability to comply with the follow-up program, comorbidity, poor physical or mental health in general, drug or alcohol abuse problems...).

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Interventions

PROCEDURELongitudinal incision

Incision performed longitudinally

PROCEDURETransverse incision

Incision performed transversally


Locations(1)

Hospital Parc taulí

Sabadell, Barcelona, Spain

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NCT06267105