[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100552737":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":35,"locations":45,"responsibleParty":63,"collaborators":26,"id":67,"slug":68,"hasResults":69,"nctId":70,"briefTitle":71,"officialTitle":72,"acronym":26,"eligibilityCriteria":73,"healthyVolunteers":69,"sex":74,"minAge":75,"maxAge":26,"enrollmentInfo":76,"targetDuration":26,"studyType":79,"phases":80,"briefSummary":82,"conditions":83,"keywords":85,"overallStatus":48,"whyStopped":26,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":96,"completionDateStruct":98,"leadSponsor":100,"locationsCount":101},{"fullName":5,"class":6},"University Health Network, Toronto","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Dorsal Webspace Approach","EXPERIMENTAL","A dorsal approach involves passing the needle with a 1:1 triamcinolone and lidocaine mixture in the dorsal webspace skin aiming just palmar to the proximal phalanx bone such that the needle is directed into the flexor tendon sheath at the A1 annular pulley.",[13],"Procedure: Dorsal webspace combined corticosteroid and anesthetic injection",{"label":15,"type":16,"description":17,"interventionNames":18},"Palmar Approach","ACTIVE_COMPARATOR","Standard approach for injecting the 1:1 triamcinolone and lidocaine mixture involves the needle passing through the cutaneous and subcutaneous layers of the palmar skin surface and into the flexor tendon sheath at the A1 annular pulley.",[19],"Procedure: Palmar combined corticosteroid and anesthetic injection",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","Dorsal webspace combined corticosteroid and anesthetic injection","The dorsal webspace injection consists of a 1cc mixture of 0.5cc triamcinolone (Kenalog) 10mg\u002FmL and 0.5cc 1% lidocaine for analgesic purposes.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Palmar combined corticosteroid and anesthetic injection","The palmar injection consists of a 1cc mixture of 0.5cc triamcinolone (Kenalog) 10mg\u002FmL and 0.5cc 1% lidocaine for analgesic purposes.",[15],[32],{"name":33,"affiliation":5,"role":34},"Kevin Zuo, MD, MASc","PRINCIPAL_INVESTIGATOR",[36,40],{"name":33,"role":37,"phone":38,"phoneExt":26,"email":39},"CONTACT","416-603-5802","kevin.zuo@uhn.ca",{"name":41,"role":37,"phone":42,"phoneExt":43,"email":44},"Daniel Antflek, BSc","416-603-5800","6133","daniel.antflek@uhn.ca",[46],{"facility":47,"status":48,"city":49,"state":50,"zip":51,"country":52,"countryCode":53,"cosmosGeoPoint":54,"geoPoint":59,"contacts":60},"University Health Network - Toronto Western Hospital","RECRUITING","Toronto","Ontario","M5T 2S8","Canada","CA",{"type":55,"coordinates":56},"Point",[57,58],-79.39864,43.70643,{"lat":58,"lon":57},[61,62],{"name":33,"role":37,"phone":38,"phoneExt":26,"email":39},{"name":33,"role":34,"phone":26,"phoneExt":26,"email":26},{"type":64,"investigatorFullName":65,"investigatorTitle":66,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"SPONSOR_INVESTIGATOR","Kevin Zuo","Staff Surgeon, Plastic and Reconstructive Surgery","100552737","intrasynovial-digital-anesthesia-in-trigger-finger-100552737",false,"NCT06476977","Intrasynovial Digital Anesthesia in Trigger Finger","Trigger Finger Corticosteroid Injection Pain: Palmar Injection Versus Dorsal Intrasynovial (Transthecal) Injection","Inclusion Criteria:\n\n* Be 18 years of age or older\n* Have a diagnosis of trigger finger (can be any of the 5 digits)\n* Opting to receive a CSI for their triggering finger\n\nExclusion Criteria:\n\n* Decline to obtain a CSI for trigger finger management\n* Receiving multiple CSI for trigger finger management at the appointment\n* Past CSI and\u002For surgery to the digit involved\n* Unable to communicate in English","ALL","18 Years",{"count":77,"type":78},60,"ESTIMATED","INTERVENTIONAL",[81],"NA","Trigger finger is a common disease of the hand involving swelling and inflammation of the tendon which flexes a finger, causing catching, locking, and\u002For pain. Trigger finger is typically treated by hand surgeons with a steroid injection through the front\u002Fpalm side of the hand into the area near the tendon (i.e., at the base of the affected finger). This steroid injection is often combined with a local anesthetic (numbing agent) to help reduce short-term pain from the injection. However, the front\u002Fpalm side of the hand is known to be very sensitive, and the steroid injection can be quite painful as the needle pierces the front\u002Fpalm skin.\n\nTo reduce the pain of steroid injections for trigger finger, a different approach involves performing the injection from the back\u002Fdorsal side of the hand, which is thought to be less sensitive (and therefore less painful) than the front\u002Fpalm side of the hand. This technique is sometimes used and has been previously studied, but it is not clear if it can offer less injection-related pain than standard treatment.\n\nAccordingly, this study will be comparing short-term injection-associated pain between front\u002Fpalm side and back\u002Fdorsal side steroid injections for trigger finger. The study will also seek to understand what area of the hand is numbed by the anesthetic when doing a front\u002Fpalm side injection versus a back\u002Fdorsal side injection of the hand. Overall, the investigators hypothesize that back\u002Fdorsal side injections will be less painful than front\u002Fpalm side injections for trigger fingers and that the area of numbing from the anesthetic will be equivalent between both types of injections.",[84],"Trigger Finger Disorder",[86,87,88,89,90,91],"trigger finger","stenosing tenosynovitis","corticosteroid injection","palmar","dorsal","pain","2024-08-15",{"date":94,"type":95},"2024-08-19","ACTUAL",{"date":97,"type":95},"2024-07-03",{"date":99,"type":78},"2026-07",{"name":65,"class":6},1]