[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100632666":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":25,"centralContacts":38,"locations":47,"responsibleParty":94,"collaborators":97,"id":100,"slug":101,"hasResults":102,"nctId":103,"briefTitle":104,"officialTitle":105,"acronym":24,"eligibilityCriteria":106,"healthyVolunteers":102,"sex":107,"minAge":108,"maxAge":24,"enrollmentInfo":109,"targetDuration":24,"studyType":112,"phases":113,"briefSummary":115,"conditions":116,"keywords":119,"overallStatus":50,"whyStopped":24,"lastUpdateSubmitDate":129,"lastUpdatePostDateStruct":130,"startDateStruct":133,"completionDateStruct":135,"leadSponsor":137,"locationsCount":138},{"fullName":5,"class":6},"Washington University School of Medicine","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Longitudinal Incision","EXPERIMENTAL","Participants randomized to this arm will undergo standard open A1 pulley release for trigger finger using a longitudinal incision along the axis of the finger.",[13],"Procedure: Open A1 Pulley Release",{"label":15,"type":10,"description":16,"interventionNames":17},"Transverse Incision","Participants randomized to this arm will undergo standard open A1 pulley release for trigger finger using a transverse incision placed in the distal palmar crease.",[13],[19],{"type":20,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"PROCEDURE","Open A1 Pulley Release","Surgical release of the first annular (A1) pulley to treat stenosing tenosynovitis (trigger finger). Participants receive either a longitudinal or transverse incision based on their randomized arm assignment. All other aspects of surgical technique and post-operative care are standardized.",[9,15],null,[26,30,34],{"name":27,"affiliation":28,"role":29},"Jason Strelzow, MD","Associate Professor, Orthopaedic Surgery Division of Hand and Microsurgery, Washington University in St Louis","PRINCIPAL_INVESTIGATOR",{"name":31,"affiliation":32,"role":33},"Ryan Calfee, MD","Professor, Orthopaedic Surgery Division of Hand and Microsurgery Chief, Hand and Microsurgery Service Medical Director, Washington University and Barnes-Jewish Orthopedic Center","STUDY_CHAIR",{"name":35,"affiliation":36,"role":37},"Nisha N Kale, MD","Washington University in St. Louis Department of Orthopaedic Surgery","STUDY_DIRECTOR",[39,43],{"name":35,"role":40,"phone":41,"phoneExt":24,"email":42},"CONTACT","314-906-2072","kale.n@wustl.edu",{"name":44,"role":40,"phone":45,"phoneExt":24,"email":46},"Jason Strezlow, MD","(314) 514-3500","strelzow@wustl.edu",[48,72],{"facility":49,"status":50,"city":51,"state":52,"zip":53,"country":54,"countryCode":55,"cosmosGeoPoint":56,"geoPoint":61,"contacts":62},"The University of Chicago Medicine","RECRUITING","Chicago","Illinois","60537","United States","US",{"type":57,"coordinates":58},"Point",[59,60],-87.65005,41.85003,{"lat":60,"lon":59},[63,67,71],{"name":64,"role":40,"phone":65,"phoneExt":24,"email":66},"Jennifer Wolf, MD","773-834-3531","jwolf@bsd.uchicago.edu",{"name":68,"role":40,"phone":69,"phoneExt":24,"email":70},"Oluwafemi Afolabi, Administrative Specialist","773-702-6254","oluwafemi.afolabi@bsd.uchicago.edu",{"name":64,"role":29,"phone":24,"phoneExt":24,"email":24},{"facility":73,"status":50,"city":74,"state":75,"zip":76,"country":54,"countryCode":55,"cosmosGeoPoint":77,"geoPoint":81,"contacts":82},"Washington University and Barnes-Jewish Orthopedic Center","St Louis","Missouri","63110",{"type":57,"coordinates":78},[79,80],-90.19789,38.62727,{"lat":80,"lon":79},[83,87,90,91,93],{"name":84,"role":40,"phone":85,"phoneExt":24,"email":86},"Alli Rittenhouse","(314) 747-2652","allir@wustl.edu",{"name":88,"role":40,"phone":45,"phoneExt":24,"email":89},"Matthew Berning","berning@wustl.edu",{"name":27,"role":29,"phone":24,"phoneExt":24,"email":24},{"name":31,"role":92,"phone":24,"phoneExt":24,"email":24},"SUB_INVESTIGATOR",{"name":35,"role":92,"phone":24,"phoneExt":24,"email":24},{"type":29,"investigatorFullName":95,"investigatorTitle":96,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"Jason Strelzow","Jason Strelzow, MD Associate Professor, Orthopaedic Surgery Division of Hand and Microsurgery Vice Chair of Faculty Affairs",[98],{"name":99,"class":6},"University of Chicago","100632666","prospective-randomized-trial-comparing-longitudinal-vs-transverse-a1-pulley-release-100632666",false,"NCT07516652","Prospective Randomized Trial Comparing Longitudinal vs. Transverse A1 Pulley Release","Incision Decision: A Prospective Randomized Trial Comparing Longitudinal vs. Transverse A1 Pulley Release Outcomes","Inclusion Criteria:\n\n* Adult patients (age ≥ 18 years)\n* Diagnosed with trigger finger (stenosing tenosynovitis) of a finger (excluding the thumb)\n* Written informed consent obtained\n\nExclusion Criteria:\n\n* Revision surgery\n* Previous surgery on the affected finger\n* Patients refusing consent","ALL","18 Years",{"count":110,"type":111},200,"ESTIMATED","INTERVENTIONAL",[114],"NA","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.",[117,118],"Trigger Finger","Stenosing Tenosynovitis",[120,121,122,123,124,125,126,127,128],"trigger finger","stenosing tenosynovitis","A1 pulley release","longitudinal incision","hand surgery","randomized controlled trial","scar outcomes","PROMIS","patient-reported outcomes","2026-03-31",{"date":131,"type":132},"2026-04-08","ACTUAL",{"date":134,"type":111},"2026-04-01",{"date":136,"type":111},"2028-03-30",{"name":5,"class":6},2]