Symptoms and General Pathology

All Conditions

Nervous System Diseases

Wounds and Injuries

Neoplasms

Skin and Connective Tissue Diseases

Musculoskeletal Diseases

Diseases and Abnormalities at or Before Birth

Rare Diseases

Syndrome

Carpal Tunnel Syndrome

Ganglion Cysts

Contracture

Trigger Finger Disorder

Cysts

Synovial Cyst

Dupuytren Contracture

Median Neuropathy

Mononeuropathies

Peripheral Nervous System Diseases

Neuromuscular Diseases

Nerve Compression Syndromes

Charcot-Marie-Tooth Disease

Hereditary Sensory and Motor Neuropathy

Cumulative Trauma Disorders

Sprains and Strains

Mucinoses

Connective Tissue Diseases

Joint Diseases

Muscular Diseases

Tendon Entrapment

Tendinopathy

Fibroma

Neoplasms, Fibrous Tissue

Neoplasms, Connective Tissue

Neoplasms, Connective and Soft Tissue

Neoplasms by Histologic Type

Trigger Thumb

Hereditary Motor and Sensory Neuropathy

Hereditary Neuropathy With Liability to Pressure Palsies

Roussy Levy Syndrome

Participants will be given a Question Prompt list that has been developed by the research team

Participants will be given 3 questions from the AskShareKnow method

Question Prompt List

3 questions

Robin N Kamal, MD

Patients with common hand conditions will be randomized to one of two groups- one will receive a question prompt list, the other will receive a list of 3 questions

Question Prompt List for Common Hand Conditions

Does Giving a Question Prompt List to Patients With Common Hand Conditions Improve Their Perceived Involvement in Care? A Randomized Controlled Trial

This scale measures perceived involvement in care, with higher scores indicating higher perceived involvement

Stanford University

Assistant Professor

In this group interrupted simple or horizontal mattress skin sutures are used for wound closure per surgeon preference. Standardized wound care instructions will be given to all patients. Those who received absorbable Chromic sutures are treated recording to the standard protocol and they are advised that they can start to gently rub the scab and suture line to encourage the sutures to fall off starting 10-14 days postoperatively.

Absorbable Chromic gut sutures

In this group interrupted simple or horizontal mattress skin sutures are used for wound closure per surgeon preference. Standardized wound care instructions will be given to all patients. Those who received Nylon sutures are treated recording to the standard protocol and sutures are removed after the usual time (10-14 days) of the received procedure.

Non-absorbable Nylon sutures

David Ring, MD PhD

This study aims to assess the relationship between overall satisfaction with treatment in a group of randomized patients undergoing elective hand surgery using either absorbable (4-0 Chromic) or non-absorbable (5-0 Nylon) sutures. The investigators will also assess factors associated with wound concerns, pain intensity, magnitude of limitations, and physical function within one month of surgery.

Both patient and surgeon will be blinded until just before the start of the procedure.

Different Sutures in Hand Surgery

A Randomized Controlled Trial: Nylon Versus Chromic Sutures in Hand Surgery

The scale ranges from 0 to 10, with higher scores representing higher treatment satisfaction.

Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. Wound concerns will be assessed by number of contacts with questions for wound concerns.

Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. The scale ranges from 0 to 10, with higher scores representing higher pain intensity.

Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. PROMIS-UE PF scores are reported as T-scores with a mean of 50 and SD of 10, with higher scores representing higher levels of physical function.

Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. The scale ranges from 0 to 10, with higher scores representing higher scar satisfaction.

he scale ranges from 0 to 10, with higher scores representing higher treatment satisfaction.

University of Texas at Austin

Associate Dean for Comprehensive Care. Professor of Surgery and Psychiatry

Fractures, Bone

Radius Fractures

Wrist Fractures

Forearm Injuries

Arm Injuries

Wrist Injuries

All patients will be given information about a mobile app to use during the recovery period to assist with hand therapy activities

a mobile app that demonstrates hand therapy exercises

Mobile App

Patients will be asked to use a mobile phone app to conduct their hand therapy after having hand surgery.

Patients who are undergoing the included procedures will be informed of the study \& consented. They will be given information on how to download the app \& input their surgery date. The app will guide the patient through various hand therapy exercises and ask them to record their QuickDASH, PSFS and VAS Pain weekly.

Alternatives to Hand Therapy for Hand Surgery Patients

The QD is a short form of the DASH, which measures disability of the arm, shoulder and hand. it is scored 0-100, with higher scores indicating higher disability

the PSFS is a validated measure of disability, that is scored on a 0-10 scale with lower scored indicating higher disability.

VAS pain is a validated measure of pain, scored 0-10, with higher scores indicating higher pain

Pathological Conditions, Anatomical

Pharmaceutical Solutions

All Drugs and Chemicals

Polidocanol

Sclerosing Solutions

polidocanol

infra-red coagulation

cryotherapy

Stephen A Holme, MBChB

Digital myxoid cysts arise from degeneration in the connective tissue of the digit joint, usually the last joint of the finger or toe, often due to underlying joint arthritis. They may connect with the joint. Pressure from the cyst can result in deformity of the digit's nail and trauma to the cyst results in leakage of the fluid, representing a potential source of entry for infection. Cysts can be tender and interfere with the digit's function. A variety of treatments are available, from simple extrusion which is rarely successful, to more destructive cryotherapy, infra-red coagulation and formal excision under local anaesthetic. These latter three approaches can result in considerable scarring. Sclerosant injection of polidocanol in one small non-randomised trial has been reported to be a well tolerated efficacious treatment with minimal scarring and long-term resolution. Following a pilot study, the investigators aim to trial this treatment to assess efficacy in a larger population.

An Assessment of Intra-lesional 3% Polidocanol Solution in the Treatment of Digital Myxoid Cyst

An Assessment of Intra-lesional 3% Polidocanol Solution in the Treatment of Digital Myxoid Cysts

Is there a difference in the percentage of participants with cyst resolution at 6 weeks post treatment in those treated with polidocanol compared to those treated with the current conventional treatments of cryotherapy and infra-red coagulation?

In those participants treated with polidocanol compared to cryotherapy and also compared to infra-red coagulation is there a difference in the percentage of participants with cyst resolution at 12 and 52 weeks post initial treatment

In those participants treated with polidocanol compared to cryotherapy and also compared to infra-red coagulation is there a difference in clinically apparent scarring

In those participants treated with polidocanol compared to cryotherapy and also compared to infra-red coagulation is there a difference in procedure pain/discomfort

In those participants treated with polidocanol compared to cryotherapy and also compared to infra-red coagulation is there a difference in procedure satisfaction

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Question Prompt List for Common Hand Conditions	NCT03868449	Carpal Tunnel S... Trigger Finger Trigger Thumb Dupuytren Contr... Ganglion Cysts	Question Prompt... 3 questions	18 Years -	Stanford University
Different Sutures in Hand Surgery	NCT03407820	All Minor Hand ... Carpal Tunnel S... Trigger Finger Ganglion Cysts De Quervain Syn... Dupuytren Contr...	Absorbable Chro... Non-absorbable ...	18 Years - 89 Years	University of Texas at Austin
Different Sutures in Hand Surgery	NCT03407820	All Minor Hand ... Carpal Tunnel S... Trigger Finger Ganglion Cysts De Quervain Syn... Dupuytren Contr...	Absorbable Chro... Non-absorbable ...	18 Years - 89 Years	University of Texas at Austin
Alternatives to Hand Therapy for Hand Surgery Patients	NCT03779958	Carpal Tunnel S... Trigger Finger Ganglion Cysts Distal Radius F... Finger Fracture De Quervain Syn...	Mobile App	18 Years - 100 Years	Stanford University
An Assessment of Intra-lesional 3% Polidocanol Solution in the Treatment of Digital Myxoid Cyst	NCT02154789	Ganglion Cysts	polidocanol infra-red coagu... cryotherapy	18 Years -	University of Edinburgh
Question Prompt List for Common Hand Conditions	NCT03868449	Carpal Tunnel S... Trigger Finger Trigger Thumb Dupuytren Contr... Ganglion Cysts	Question Prompt... 3 questions	18 Years -	Stanford University
An Assessment of Intra-lesional 3% Polidocanol Solution in the Treatment of Digital Myxoid Cyst	NCT02154789	Ganglion Cysts	polidocanol infra-red coagu... cryotherapy	18 Years -	University of Edinburgh
Alternatives to Hand Therapy for Hand Surgery Patients	NCT03779958	Carpal Tunnel S... Trigger Finger Ganglion Cysts Distal Radius F... Finger Fracture De Quervain Syn...	Mobile App	18 Years - 100 Years	Stanford University

Spots Global Cancer Trial Database for ganglion cysts