Prospective Randomized Trial Comparing Longitudinal vs. Transverse A1 Pulley Release
The goal of this clinical trial is to compare two different skin incisions used in surgery to treat trigger finger in adult patients. Trigger finger occurs when a finger gets stuck or locks because of swelling of the sheath around the tendons the help move the fingers. The main questions it aims to answer are (1) Does
| Condition(s) | Trigger Finger, Stenosing Tenosynovitis |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | The goal of this clinical trial is to compare two different skin incisions used in surgery to treat trigger finger in adult patients. Trigger finger occurs when a finger gets stuck or locks because of swelling of the sheath around the tendons the help move the fingers. The main questions it aims to answer are (1) Does the type of skin cut affect how well the hand works 6 weeks after surgery? (2) Does the type of skin cut affect pain levels, scar healing, and how quickly people return to their normal activities? Orthopaedic surgeons will compare a straight incision along the finger (longitudinal incision) to a incision across the crease in the palm (transverse incision) to see if one type of incision results in better recovery, less pain, a better scar, and higher patient satisfaction with |
| Who can participate | Inclusion Criteria: * Adult patients (age ≥ 18 years) * Diagnosed with trigger finger (stenosing tenosynovitis) of a finger (excluding the thumb) * Written informed consent obtained Exclusion Criteria: * Revision surgery * Previous surgery on the affected finger * Patients refusing consent |
| Ages | 18 Years |
| Sex | All |
| Lead sponsor | Washington University School of Medicine |
| Locations | Chicago, Illinois, United States; St Louis, Missouri, United States |
| Start date | 2026-04-01 |
| NCT ID | NCT07516652 |
| Official listing | https://clinicaltrials.gov/study/NCT07516652 |