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This is a prospective, randomized, multi-center pilot study of isolated, displaced neck fractures of the fifth metacarpal. The patients are randomly assigned to osteosynthesis with antegrade intramedullary splinting or conservative treatment.
The aim of this study is to provide criteria for treatment decisions in patients with isolated, displaced neck fractures of the fifth metacarpal. The primary outcome criterion is the functional status measured by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Secondary outcome criteria are pain, range of motion (ROM), grip strength, and radiological parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | antegrade intramedullary splinting |
|
| B | Active Comparator | conservative treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| antegrade intramedullary splinting | Procedure | antegrade intramedullary splinting with 2 to 3 small K-wires |
|
| Measure | Description | Time Frame |
|---|---|---|
| Disability of the Arm, Shoulder and Hand (DASH) questionnaire | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| pain | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Schädel-Höpfner, MD | Department of Trauma and Hand Surgery, University Hospital, Düsseldorf, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Trauma and Hand Surgery | Düsseldorf | D-40225 | Germany |
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| ID | Term |
|---|---|
| D000072700 | Conservative Treatment |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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| conservative treatment | Procedure | conservative treatment with 2-finger splint for one week |
|