Surgery options for severe trigger fingers
Resection of One or Both Slips of the Flexor Digitorum Superficialis Tendon for Cases of Severe Trigger Fingers. a Randomized Prospective Single Center Study
This study tests which of two surgical methods works better for treating severe trigger fingers in patients with flexor tendon issues.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Centre Hospitalier Universitaire Vaudois Academic / other |
| Locations | 1 site (Lausanne, VD) |
| Trial ID | NCT04675892 on ClinicalTrials.gov |
What this trial studies
This study compares the effectiveness of two surgical approaches for treating severe trigger fingers: resection of one or both slips of the flexor digitorum superficialis tendon versus division of the A1 pulley. Patients diagnosed with flexor tendon tenosynovitis are recruited and randomized into one of the two treatment groups. Preoperative assessments include a clinical examination and evaluation of pain and range of motion. Postoperative follow-ups are conducted to monitor recovery and any complications.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older with a diagnosed flexor tendon tenosynovitis resulting in decreased range of motion of the PIP joint.
Not a fit: Patients with PIP joint contractures due to conditions other than stenosing flexor tenosynovitis or those with contraindications to surgery may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide patients with a more effective surgical option for alleviating symptoms of trigger finger.
How similar studies have performed: Other studies have explored surgical interventions for trigger finger, but this specific comparison of techniques is novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients (≥18 years old) with a flexor tendon tenosynovitis of a finger resulting in a decreased range of motion of the PIP joint (defined with a palm-to-pulp distance ≥0mm and/or flexion contracture ≥15°). Exclusion Criteria: * Minors (\<18 years old). * PIP joint contracture resulting from another illness than stenosing flexor tenosynovitis (for example: rheumatoid arthritis) or caused by a traumatic event. * Contraindications to any surgery: presence of a severe coagulation disorder, immunosuppression or decompensated psychiatric illness.
Where this trial is running
Lausanne, VD
- Chuv — Lausanne, Vd, Switzerland (Recruiting)
Study contacts
- Study coordinator: Thierry Christen, MD
- Email: thierry.christen@chuv.ch
- Phone: +41(0)795561287
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.