Health TrialsbyHealthPanel

Efficacy of Ultrasound-Guided Needle Knife Release for Trigger Finger

ConditionTrigger Finger
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMohamed Maher Ismail Ahmed Elashmawy

About this trial

Efficacy of ultrasound-guided tri-directional needle knife release in treating patients with trigger finger. The study evaluates safety, effectiveness, and recovery outcomes of a minimally invasive procedure compared to conventional approaches.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Idiopathic TF at the level of A1 pulley

Trigger finger of Green's grades II or III or IV (moderate to severe)

Symptoms persist for at least three months despite conservative treatments.

Ability to provide informed consent and comply with follow-up requirements.

Disqualifiers

Patients with secondary causes of TF like diabetes mellitus, rheumatoid arthritis, gout, hypothyroidism, amyloidosis, and sarcoidosis.

Patients with TF of Green's grade I.

Previous surgical intervention on the affected digit.

Allergy or contraindication to local anesthetics.

Trial design

Design model

Single group

Treatments tested in this trial

  • Tri-directional Ultrasound-guided Needle Knife Release

    Procedure/Surgery

    This procedure involves ultrasound-guided tri-directional needle knife release for the treatment of trigger finger. Local anesthesia using 3-5 ml of 1% lidocaine and 0.25% bupivacaine will be administered for patient comfort. It aims to ensure precise tissue dissection while minimizing risks and improving outcomes. Device: Sonosite M-Turbo Ultrasound Machine with Linear Probe HFL38x (6-13 MHz) is used for real-time imaging during the procedure.

Treatment groups

46 Participants
are divided into 1 treatment group
Group A: Ultrasound-Guided Tri-directional Needle Knife Release GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Improvement in hand and finger function

Functional improvement evaluation using the QuickDASH score (0-100 scale)

Time frame
6 months
2

Reduction in Pain scores post-procedure

Evaluating of the effectiveness of ultrasound-guided tri-directional needle knife release in reducing pain scores among patients with trigger finger using the Visual Analog Scale (VAS) (scale 0-10)

Time frame
6 months
3

Improvement of finger mobility

Measurment of joint mobility in degrees at MCP and PIP joints using goniometer.

Time frame
6 months

Secondary outcomes

1

Patient Satisfaction with the procedure

Evaluating of patient satisfaction levels using a structured questionnaire

Time frame
6 months
2

Rate of procedure-related complications

Monitoring and documentation of procedure-related complications, including infection, nerve injury, and other adverse events.

Time frame
6 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Mohamed Maher Ismail Ahmed Elashmawy

Lead sponsor

Mansoura University Hospital

Sponsor institution

Source ClinicalTrials.gov
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