Swelling or Malrotation of Metacarpal Shaft Fractures in the Evaluation of Rotational Deformity

NCT00934869 | Unknown

• 1 other identifier: LUR01-CTIL -HMO
• Study Type: observational
• Target: N/A
• Locations: 1 country
• Sites: 2

Brief Summary

Rotational deformity or malunion causes the most significant functional deficit in these common fractures. The evaluation of the rotation may be performed with the metacarpophalangeal joints flexed although postoperative swelling may not enable this examination with flexion of the fingers. Furthermore, it has been shown that swelling may cause rotation of the digit itself. The investigators propose that the swelling may cause a mistake in the estimation of rotation, during surgery and early follow up period. This is of special importance when open reduction and rigid fixation is performed. Methods: Prospective analysis of XX isolated metacarpal fractures treated, in YY patients was performed. End-on view of the finger-nail was taken with a digital camera on the day of OR, at 2 weeks and at 1 year. The photos were taken on a standard apparatus and from a distance of XX cm and evaluated using ZZ software in comparison with photos taken of the other hand, according to the involved digit. Range of motion, type of fracture and type of fixation were compared.

Conditions

Metacarpal Shaft Fractures

Study Arms (1)

Metacarpal Shaft Fractures

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Men and Women with isolated metacarpal fractures

You may qualify if:

• isolated metacarpal fractures in one hand- fingers 2, 3, 4, 5
• treated with cast or surgical treatment , closed or open reduction

You may not qualify if:

• multiple fractures simultaneously
• fractures in both hands
• former fracture in one of the fingers, two palms,metacarpal,proximal phalanx (with exception of the thumb)
• open fracture, open wounds, infection
• pregnancy, inability performing full x-ray follow up

Sponsors & Collaborators

• Hadassah Medical Organization: lead

Study Sites (2)

Hadassah Medical Organization

Jerusalem, Israel

NOT YET RECRUITING

Hadassah Medical Organization

Jerusalem, Israel

RECRUITING

Central Study Contacts

Shai Luria, M.D

CONTACT

972-2-6776342; ShaiL@hadassah.org.il

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: July 6, 2009
• First Posted: July 8, 2009
• Study Start: August 1, 2009
• Primary Completion: March 1, 2015
• Last Updated: March 22, 2013

Record last verified: 2013-03

Locations

IL (2)