Radiological Criteria for Instability in Distal Radius Fractures

Launched by OSLO UNIVERSITY HOSPITAL · Sep 26, 2024

Keywords

ClinConnect Summary

This clinical trial is investigating whether specific imaging criteria can help determine if a particular type of wrist fracture, known as a dorsally displaced distal radius fracture, is stable enough to avoid surgery after a non-surgical treatment called closed reduction. The study is focused on adults aged 18 to 65 living in and around Oslo, who have certain types of fractures that meet specific conditions.

To be eligible for this trial, participants must have a certain classification of wrist fracture and their fracture must be properly positioned after reduction. However, individuals with more complicated fractures, previous wrist injuries, or certain medical conditions are not eligible. Those who join the trial can expect to have their fractures evaluated using imaging techniques to help decide the best treatment approach. Overall, this research aims to improve care for patients with wrist fractures and potentially reduce unnecessary surgeries.

Gender

ALL

Eligibility criteria

• Inclusion criterias:
• • 18-65 years old, living in Oslo/surroundings (available for follow-up)
• • AO class A2/3 or C1/C2 fractures
• • Dorsally displaced fracture of the distal radius (minimum VLDV more than100 or ulnar variance more than 2 mm compared to healthy side before reduction) with or without PSU fracture
• • Reduced to an acceptable position (VLDV 75-95 degrees, RIV more than 15 degrees, ulnar variance more than 2 mm, step/diastasis in the joint surface less than 2 mm)
• Exclution criterias:
• • Volar comminution (AO A3.3), step/diastasis more than 2 mm before reduction
• • Ad latus more than 2 cortex widths after reduction
• • Bilateral fractures
• • Open fractures
• • Previous wrist fracture in adulthood
• • Still open growth disc on X-ray
• • Antebrachium or carpal fracture
• • Ligament damage in the root of the hand or DRUJ
• • Lack of compliance (dementia, psychiatry/drug abuse, etc.)
• • Language problems
• • Rheumatoid arthritis or other systemic disease that can affect the result