[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100573567":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":35,"locations":44,"responsibleParty":65,"collaborators":26,"id":69,"slug":70,"hasResults":71,"nctId":72,"briefTitle":73,"officialTitle":74,"acronym":26,"eligibilityCriteria":75,"healthyVolunteers":71,"sex":76,"minAge":77,"maxAge":78,"enrollmentInfo":79,"targetDuration":26,"studyType":82,"phases":83,"briefSummary":85,"conditions":86,"keywords":88,"overallStatus":94,"whyStopped":26,"lastUpdateSubmitDate":95,"lastUpdatePostDateStruct":96,"startDateStruct":99,"completionDateStruct":101,"leadSponsor":103,"locationsCount":104},{"fullName":5,"class":6},"Aristotle University Of Thessaloniki","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Pull out tenolysis group","ACTIVE_COMPARATOR","A1 pulley release and pull out tenolysis for the treatment of trigger fingers and thumb",[13],"Procedure: A1 pulley release and pull out tenolysis",{"label":15,"type":16,"description":17,"interventionNames":18},"Simple A1 pulley release group","PLACEBO_COMPARATOR","Simple A1 pulley release for the treatment of trigger fingers and thumb",[19],"Procedure: Simple A1 pulley release",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","A1 pulley release and pull out tenolysis","A short transverse incision will be made over the proximal or distal palmar crease, according to the digit involved. Blunt dissection will be used to spread the subcutaneous tissue and the palmar fascia to expose the A1 pulley. The digital nerves and vessels will be retracted and protected. The proximal edge of the A1 pulley will be identified and a scalpel blade will be used to divide the entire A1 pulley under direct vision. Flexor digitorum superficialis and flexor digitorum profundus tendons or flexor pollicis longus tendon (for the thumb) will be gently pulled out of the wound with two mosquito forceps to break any adhesions. The wound will be closed primarily with sutures. The patient will be asked to actively move the digit to confirm complete relief of triggering.The wound will be closed primarily with sutures.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Simple A1 pulley release","A short transverse incision will be made over the proximal or distal palmar crease, according to the digit involved. Blunt dissection will be used to spread the subcutaneous tissue and the palmar fascia to expose the A1 pulley. The digital nerves and vessels will be retracted and protected. The proximal edge of the A1 pulley will be identified and a scalpel blade will be used to divide the entire A1 pulley vision. After release, the patient will be asked to actively move the digit to confirm complete relief of triggering.The wound will be closed primarily with sutures.",[15],[32],{"name":33,"affiliation":5,"role":34},"Panagiotis Givissis, Professor","STUDY_CHAIR",[36,41],{"name":37,"role":38,"phone":39,"phoneExt":26,"email":40},"Eleni Karagergou, MD, PhD","CONTACT","+306972386716","krgeleni@gmail.com",{"name":42,"role":38,"phone":26,"phoneExt":26,"email":43},"Dimitrios Kitridis, MD","dkitridis@gmail.com",[45],{"facility":46,"status":26,"city":47,"state":47,"zip":48,"country":49,"countryCode":50,"cosmosGeoPoint":51,"geoPoint":56,"contacts":57},"Aristotle University of Thessaloniki, 1st Orthopaedic Department, G. Papanikolaou Hospital","Thessaloniki","57010","Greece","GR",{"type":52,"coordinates":53},"Point",[54,55],22.93493,40.64072,{"lat":55,"lon":54},[58,62,63,64],{"name":59,"role":38,"phone":60,"phoneExt":26,"email":61},"Panagiotis Givissis, Professor, Head of Orthopaedic","+302313307681","orthopaedikipapanikolaou@gmail.com",{"name":33,"role":38,"phone":26,"phoneExt":26,"email":26},{"name":37,"role":38,"phone":26,"phoneExt":26,"email":26},{"name":42,"role":38,"phone":26,"phoneExt":26,"email":26},{"type":66,"investigatorFullName":67,"investigatorTitle":68,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"SPONSOR_INVESTIGATOR","Eleni Karagergou","Consultant Plastic and Hand Surgeon","100573567","pull-out-tenolysis-versus-simple-a1-pulley-release-in-trigger-digits-100573567",false,"NCT06747962","Pull-out Tenolysis Versus Simple A1 Pulley Release in Trigger Digits","A1 Pulley Release and Pull-out Tenolysis Versus Simple A1 Pulley Release in Trigger Fingers and Thumb. a Randomized Controlled Trial","Inclusion Criteria:\n\n* Patients with single trigger finger that failed conservative treatment\n* Patients with single trigger finger that had recurrence of symptoms after conservative treatment\n\nExclusion Criteria:\n\n* Patients with limited range of movement before appearance of triggering\n* Patients with osteoarthritis \u002F rheumatoid arthritis\n* Patients that had a second procedure at the same time of trigger finger release (eg carpal tunnel release).","ALL","18 Years","100 Years",{"count":80,"type":81},40,"ESTIMATED","INTERVENTIONAL",[84],"NA","Trigger finger is a common tendinopathy and clinically presents with painful catching or popping as the patient flexes and extends the digit, due to mechanical impingement of the thickened flexor tendons as they pass through a narrow tendon sheath canal at the level of the metacarpal head. If conservative management with corticosteroid injection and splinting fails or if symptoms recur, surgery and division of the A1 pulley are indicated. Traction (or pull- out) tenolysis is a maneuver based on pulling of the flexor tendons out of the wound, to release any adhesions that might have occurred due to long- standing triggering. Although it has been associated with postoperative pain and stiffness, no robust evidence exists to support its benefit or not. In view of the low quality evidence regarding the pros and cons of traction (or pull-out) tenolysis following A1 pulley release, the investigators will compare simple A1 pulley release versus A1 pulley release and pull-out tenolysis in a prospective randomized study design. Hypothesis of the study is that the pull- out tenolysis yields better results in terms of total active range of movement, pinch and grip strength, pain and quick-DASH scoring when compared to simple pulley release. The confirmation of the hypothesis will justify the use of pull-out tenolysis as a means of breaking any tendon adhesions and returning to normal function sooner. On the contrary, if the pull-out tenolysis is linked to a less favorable functional outcome, simple A1 pulley release will be recommended.",[87],"Trigger Digit",[89,90,91,92,93],"trigger finger","trigger thumb","traction tenolysis","pull-out tenolysis","A1 pulley","NOT_YET_RECRUITING","2025-01-12",{"date":97,"type":98},"2025-01-14","ACTUAL",{"date":100,"type":81},"2025-01",{"date":102,"type":81},"2027-01",{"name":67,"class":6},1]