RecruitingNCT06617780

Radiological Criteria for Instability in Distal Radius Fractures

Sponsor

Oslo University Hospital

Enrollment

212 participants

Start Date

Oct 7, 2024

Study Type

OBSERVATIONAL

Conditions

Distal Radius Fractures

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.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria16

-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