Conservative Treatment of Trigger Finger: Outcomes of a Randomized Controlled Trial
Cedars-Sinai Medical Center
Summary
This study is to analyze the effectiveness of a nighttime extension orthosis after receiving a cortisone injection for the treatment of trigger finger to improve pain and restore functional outcomes. The investigators hypothesize that the extension orthosis will improve pain and functional outcomes compared to those without a digital night extension orthosis in those with trigger finger at 12 weeks from the injection.
Description
The purpose of the research is to analyze the effectiveness of a proximal interphalangeal joint (PIPJ) extension night orthosis status-post cortisone injection of the first annular pulley for the treatment of trigger finger to improve pain and restore functional outcomes. The investigators hypothesize that the extension orthosis will improve pain and functional outcomes (Quick Dash score) compared to those without a digital night extension orthosis in those with trigger finger at 12 weeks from the injection.
Eligibility
- Age range
- 18–100 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Individuals 18 years old or older are included * Patients with trigger finger, aka stenosing flexor tenosynovitis * Status post receiving cortisone injection of the affected digit(s) Exclusion Criteria: * Any records flagged with break the glass or research opt out * Patients with rheumatoid arthritis * Patients with a history of traumatic injury to the hand * Cognitive or behavioral problems which would preclude informed consent * Unable to speak and understand English
Interventions
- DeviceOval-8 ® Orthosis
The experimental group will consist of receiving a PIP joint on the day they receive their cortisone injection. The Oval-8 ® will be issued to the subject by an Occupational Therapist to ensure correct fit and comfort as well as given written instructions for night use. The orthosis will be worn at night for 6-week duration. Participants will have 1 follow up phone call or email at the 6-week mark and then 1 follow up phone call or email at the 12 week mark by a member of the research team from the time they received their cortisone injection where the time for resolution of trigger finger symptoms, VAS (Visual Analogue Scale), subjective questionnaire and QuickDASH scores will all be recorded in their medical research file.
- OtherCortisone injection only
The control group will receive a cortisone injection and be instructed to move their fingers normally
Locations (2)
- Cedars-Sinai Medical Center Outpatient Rehabilitation Hand ClinicLos Angeles, California
- Cedars-Sinai Medical CenterLos Angeles, California