Exploration of Wrist Soft Tissue Injuries Associated With Wrist Fractures
This study has been completed.
Sponsor:
Linkoeping University
Information provided by:
Linkoeping University
ClinicalTrials.gov Identifier:
NCT01145716
First received: May 4, 2010
Last updated: May 19, 2011
Last verified: November 2009
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Purpose
The purpose of this study is to describe and stage lesions of the triangular fibrocartilage complex (TFCC) in association with distal radius fractures. 20 patients with dorsally dislocated AO type A fractures of the distal radius with sufficient displacement (based of cadaveric data) will be included. After stability testing and wrist arthroscopy. The TFCC is explored through a volar incision and injuries were documented and repaired from this approach.
| Condition | Intervention |
|---|---|
|
Triangular Fibrocartilage Complex Injuries |
Procedure: Arthroscopy, surgery |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | Exploration of Acute TFCC-injuries in Association With Distal Radius Fractures |
Resource links provided by NLM:
Further study details as provided by Linkoeping University:
Primary Outcome Measures:
- Residual instability symptoms [ Time Frame: Approx 2-6 months to include the patients that meet the inclusion criteria. They will be followed for 6 momths ] [ Designated as safety issue: Yes ]Mechanisms of injury are poorly previously described. This study will hopefully confirm cadeveric data. There is some evidence that patients might benefit from acute repair. Residual instability can be both ulnocarpal and radioulnar.
Secondary Outcome Measures:
- Adverse events [ Time Frame: Three months ] [ Designated as safety issue: Yes ]Patients that accept to participate will undergo exploration from a (new) ulnovolar approach. The study is purely descriptive. Patients are monitored for adverse events such as nerve injury and infection for 3 months.
| Estimated Enrollment: | 20 |
| Study Start Date: | August 2009 |
| Study Completion Date: | May 2011 |
| Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Surgical exploration
Descriptive
|
Procedure: Arthroscopy, surgery
Ulno-volar wrist approach to the TFCC
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Age 18-65
- Distal radius fracture
- Displacement > 20 degrees of dorsal angulation
Exclusion Criteria:
- Previous significant wrist injury
- Declines to participate
- Ulnar styloid fracture at base or proximal to it
Contacts and Locations
More Information
Publications:
| Responsible Party: | Johan Scheer MD, County Council of Ostergotland |
| ClinicalTrials.gov Identifier: | NCT01145716 History of Changes |
| Other Study ID Numbers: | OC Linkoping TFCC volar expl, Dnr M200-08 Linkoping |
| Study First Received: | May 4, 2010 |
| Last Updated: | May 19, 2011 |
| Health Authority: | Sweden: The National Board of Health and Welfare |
Keywords provided by Linkoeping University:
|
TFCC injuries Distal radius fractures |
Additional relevant MeSH terms:
|
Fractures, Bone Radius Fractures Soft Tissue Injuries |
Wounds and Injuries Forearm Injuries Arm Injuries |
ClinicalTrials.gov processed this record on May 23, 2013