Prospective Randomized Trial Comparing Longitudinal vs. Transverse A1 Pulley Release
Recruiting now · Not applicable
Conditions studied: Trigger Finger, Stenosing Tenosynovitis
In brief
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 the procedure. Participants who have trigger finger and are indicated for surgery will have surgery to release the pulley in their finger using one of the two types of incisions (assigned by chance). Participants will fill out questionnaires about their hand function and pain before surgery and at follow-up visits. Participants will have their scar checked and rated at about 2, 6, and 12 weeks after surgery, and report on their pain for the first few days after surgery and when they can return to work and move their finger without pain.
Key facts
- Study ID
- NCT07516652
- Run by
- Washington University School of Medicine
- People needed
- 200
- Starts
- 2026-04-01
- Expected to finish
- 2028-03-30
- Last updated by the study team
- 2026-04-08
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Adult patients (age ≥ 18 years)
- Diagnosed with trigger finger (stenosing tenosynovitis) of a finger (excluding the thumb)
- Written informed consent obtained
You may not qualify if…
- Revision surgery
- Previous surgery on the affected finger
- Patients refusing consent
Where it is running
- The University of Chicago Medicine — Chicago, Illinois, United States (enrolling)
- Washington University and Barnes-Jewish Orthopedic Center — St Louis, Missouri, United States (enrolling)
Full record on ClinicalTrials.gov
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