Effectiveness of Platelet-rich Plasma for Treatment of Trigger Finger
Tendon EntrapmentStudy purpose is to evaluate the effectiveness of Platelet-rich Plasma (PRP) injection in the treatment of trigger finger. We compare PRP to a corticosteroid (methylprednisolone) injection in a prospective randomized triple-blind placebo-controlled study. Patients with clinically confirmed trigger finger are randomized (1:1:1 computer generated sequence with random block size) to three parallel groups and will receive an injection of either PRP, corticosteroid or placebo (0.9% saline) around the affected tendon sheath in a double-blind setting. Baseline data is collected and is followed by a phone call at 1 month, and follow-up visits at 3, 6, 12 and 24 months after the intervention. Unveiling of the allocation is at 6 months post-intervention. The primary outcome measures are: Symptom resolution Patient-Rated Wrist Evaluation Secondary outcomes: Quick-Disabilities of the Arm, Shoulder and Hand Pain Visual Analogue Score Global improvement (7-step Likert-scale) Grip strength Finger range of motion
Injection of Hyaluronic Acid Versus Corticosteroid for Treatment of Trigger Finger
Trigger FingerThe aim of the study is to compare the therapeutic effects of hyaluronic acid versus steroid injections in treating trigger fingers using ultrasound guidance
Effectiveness of Cortisone Injection and Splinting for Trigger Finger
Trigger FingerTrigger finger has a prevalence rate of up to 3%. There are many approaches available to manage this condition. While corticosteroid injection is widely accepted as the most common first-line treatment, its superiority over splint treatment has not been established. This study aims to test the effectiveness of cortisone injections, splint and cortisone+splint to resolve symptoms.
Different Sutures in Hand Surgery
All Minor Hand Surgery IncludingCarpal Tunnel Syndrome4 moreThis study aims to assess the relationship between overall satisfaction with treatment in a group of randomized patients undergoing elective hand surgery using either absorbable (4-0 Chromic) or non-absorbable (5-0 Nylon) sutures. The investigators will also assess factors associated with wound concerns, pain intensity, magnitude of limitations, and physical function within one month of surgery.
Post Operative Dressing After Clean Elective Hand Surgery
Trigger Finger DisorderCarpal Tunnel Syndrome1 moreVery little has been published about the optimal post operative dressing protocol, and no practical conclusion has emerged from a meta-analysis published in 2013. Even fewer studies focused on that topic specifically in hand surgery. Nevertheless, the functional impairment due to a dressing in the hand is much greater than anywhere else, due to the constant use of hands in daily life activities. Yet, habits differs widely following surgeon's preference, from daily change with application of an antimicrobial unguent, to unchanged dressing until the first follow up consultation after 2 weeks, to complete removal of the dressing and basic soap and water cleaning at postoperative day (POD) 1. Those varying recommendations have functional and logistical implication for the patients, especially the elderlies, for whom autonomy is a fragile status that can be dramatically impaired by such protocols. The goal of this study is to define which post operative dressing protocol is optimal in terms of wound complications (disunion, infection)
Study Comparing One Versus Two Cortisone Injections for Trigger Finger
Stenosing TenosynovitisTrigger FingerTrigger finger, also known as stenosing tenosynovitis, is a painful condition that can cause discomfort and disability. Many physicians choose to locally inject cortisone into the infected finger although there is no current consensus as to how many injections are needed to achieve maximum relief. This study will be a prospective, randomized study to compare one versus two injections for the treatment of trigger finger.
Stage-Specific Recovery Changes in the International Classification of Functioning Components Following...
Trigger FingerThe aim of this study was to determine the effectiveness of conservative rehabilitation on the multi-dimensional health components based on WHO ICF model in Stage 1, Stage 2 and Stage 3 trigger finger and to determine the functional recovery patterns of each dimension during a three-month rehabilitation period. Thirty-four patients were participated in the study.
Question Prompt List for Common Hand Conditions
Carpal Tunnel SyndromeTrigger Finger3 morePatients with common hand conditions will be randomized to one of two groups- one will receive a question prompt list, the other will receive a list of 3 questions
Epidemiology and Outcomes of Upper Limb Surgery: Analysis of Routine Data
OsteoarthritisDislocations18 moreSurgery is a common treatment type for damaged joints, tendons and nerves in the upper limb where conservative measures are inappropriate or have failed. These conditions are common and result in significant levels of pain and functional disability. The investigators are conducting a broad ranging study of variation in the provision of surgical treatment and factors affecting outcomes after surgical treatment of upper limb conditions. This will be a population-based study of all patients undergoing surgical treatment funded by the National Health Service (NHS) of England over a nineteen-year period. This study will help to understand the factors associated with a poor outcome following surgery, which can be shared with patients considering treatment options. The investigators will also document current and future health service burden associated with commonly performed surgical procedures including complications and repeat operations.
Ultrasound Features of Trigger Finger
Trigger FingerOur aim in this study; to compare the ultrasound findings seen in trigger finger patients with healthy volunteers. Thus, ultrasound findings associated with trigger finger development will be documented