Cast Or ePineural Suture for Digital Nerve Injuries - a Randomised Controlled Study

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20+
SponsorKarolinska Institutet

About this trial

Nerve injury in the fingers is a common injury and affects people of all ages. The treatment usually offered to patients is surgery and various types of rehabilitation. There is a lack of knowledge and research on how these injuries should be treated in the best way and how well sensory function can be restored after an injury. In this research project, we will investigate results after treatment for digital nerve injuries by entailing a randomised controlled trial allocating patients with isolated digital nerve injuries to either surgical repair or non-operative treatment in a cast. Primary outcome is digital nerve function as measured by 2-points discrimination at 1 year after treatment. Secondary outcomes include finger mobility, dexterity, handfunction, occurence of pain and anxiety and time on sick leave.

Eligibility criteria

Qualifiers

Clinical signs of isolated traumatic digital nerve injury in digits 2, 3, 4 or 5.

Patient age => 20 years on day of injury.

Injury location on volar aspect of finger.

Acute sensory dysfunction in suspected digital nerve injury area.

Disqualifiers

Digital nerve injury ot the thumb

Digital nerve injury in the palm of the hand (i e proximal to the finger base)

Patient does not speak or read the Swedish language.

Abusive drug or alcohol use

Trial design

Treatments tested in this trial

  • Epineural suture
  • Non-operative treatment

Treatment groups

166 Participants
are divided into 2 treatment groups

Sponsors and collaborators