Prospective Evaluation of Cast Bivalving for Pediatric Distal Radius Fractures
Launched by BROOKE ARMY MEDICAL CENTER · Jan 28, 2023
Trial Information
Current as of June 24, 2025
Unknown status
Keywords
ClinConnect Summary
Displaced pediatric distal radius fractures are treated with fracture reduction and cast immobilization. Currently, at our institution (and many others) radiographic assessment to determine acceptable fracture alignment and cast parameters is done immediately after cast application. However, afterward casts are often split on both sides along their length, in a process known as bivalving, prophylactically treating for post-traumatic soft tissue edema. While bivalving is felt to relieve pressure from the cast, it may also diminish the structural integrity of the cast. Although it is well-est...
Gender
ALL
Eligibility criteria
- Inclusion Criteria:
- • Guardian must be present
- • Able/eligible to complete follow-up
- • Initial injury within 72 hours
- • Distal Radius fracture with or without distal ulna fracture
- • Requiring non-operative management with molded cast
- Exclusion Criteria:
- • Open fractures
- • Re-fractures
- • Pathologic fractures
- • Fractures associated with neurovascular injury
- • Poly trauma incident
- • Intubated patients or unable to verbalize symptoms of pain
- • Preexisting medical history that effects musculoskeletal health
About Brooke Army Medical Center
Brooke Army Medical Center (BAMC) is a premier military medical facility located in San Antonio, Texas, renowned for its commitment to advancing healthcare through innovative research and clinical trials. As a leading sponsor of clinical trials, BAMC leverages its expertise in trauma care, surgical interventions, and military medicine to evaluate new treatments and therapies aimed at improving patient outcomes. The center's multidisciplinary team of healthcare professionals and researchers collaborates to uphold the highest standards of ethical conduct and scientific integrity, ensuring that all trials contribute valuable insights to the medical community and enhance the quality of care for service members and their families.
Contacts
Jennifer Cobb
Immunology at National Institute of Allergy and Infectious Diseases (NIAID)
Locations
Fort Sam Houston, Texas, United States
Patients applied
Trial Officials
Daniel J Cognetti, MD
Principal Investigator
Brooke Army Medical Center
Timeline
First submit
Trial launched
Trial updated
Estimated completion
Not reported
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