Exploration of Wrist Soft Tissue Injuries Associated With Wrist Fractures

NCT01145716 | Completed

• 2 other identifiers: OC Linkoping TFCC volar explDnr M200-08 Linkoping
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Triangular Fibrocartilage Complex Injuries

Keywords

TFCC injuries; Distal radius fractures

Outcome Measures

Primary Outcomes (1)

• Residual instability symptoms

  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.

  Approx 2-6 months to include the patients that meet the inclusion criteria. They will be followed for 6 momths

Secondary Outcomes (1)

• Adverse events

  Three months

Study Arms (1)

Surgical exploration

OTHER

Descriptive

Procedure: Arthroscopy, surgery

Interventions

Arthroscopy, surgery PROCEDURE

Ulno-volar wrist approach to the TFCC

Surgical exploration

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18-65
• Distal radius fracture
• Displacement \> 20 degrees of dorsal angulation

You may not qualify if:

• Previous significant wrist injury
• Declines to participate
• Ulnar styloid fracture at base or proximal to it

Sponsors & Collaborators

• Linkoeping University: lead

Study Sites (1)

Dept of orthopedics

Linköping, 58185, Sweden

Location

Related Publications (3)

• Lindau T, Hagberg L, Adlercreutz C, Jonsson K, Aspenberg P. Distal radioulnar instability is an independent worsening factor in distal radial fractures. Clin Orthop Relat Res. 2000 Jul;(376):229-35. doi: 10.1097/00003086-200007000-00031.

  PMID: 10906880 BACKGROUND

• Lindau T, Arner M, Hagberg L. Intraarticular lesions in distal fractures of the radius in young adults. A descriptive arthroscopic study in 50 patients. J Hand Surg Br. 1997 Oct;22(5):638-43. doi: 10.1016/s0266-7681(97)80364-6.

  PMID: 9752922 BACKGROUND

• Geissler WB, Fernandez DL, Lamey DM. Distal radioulnar joint injuries associated with fractures of the distal radius. Clin Orthop Relat Res. 1996 Jun;(327):135-46. doi: 10.1097/00003086-199606000-00018.

  PMID: 8641057 BACKGROUND

MeSH Terms

Conditions

Wrist Fractures

Interventions

Arthroscopy; Surgical Procedures, Operative

Condition Hierarchy (Ancestors)

Wrist Injuries; Arm Injuries; Wounds and Injuries; Fractures, Bone

Intervention Hierarchy (Ancestors)

Endoscopy; Diagnostic Techniques, Surgical; Diagnostic Techniques and Procedures; Diagnosis; Minimally Invasive Surgical Procedures; Orthopedic Procedures

Study Officials

• Lars E Adolfsson, Assoc prof

  Linkopeing University, Sweden

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV

Study Record Dates

• First Submitted: May 4, 2010
• First Posted: June 17, 2010
• Study Start: August 1, 2009
• Primary Completion: May 1, 2011
• Study Completion: May 1, 2011
• Last Updated: May 20, 2011

Record last verified: 2009-11

Locations

SE (1)