Radiological Criteria for Instability in Distal Radius Fractures (NCT06617780) | Clinical Trial Compass
RecruitingNot Applicable
Radiological Criteria for Instability in Distal Radius Fractures
Norway212 participantsStarted 2024-10-07
Plain-language summary
The study examines whether there are radiological criteria that can give an indication if a dorsally displaced distal radius fracture remains stable without the needs for surgery after closed reduction in patients between 18 and 65 years of age.
Who can participate
Age range18 Years – 65 Years
SexALL
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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