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| Name | Class |
|---|---|
| University Hospital, Akershus | OTHER |
| Asker & Baerum Hospital | OTHER |
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A multi-site randomized controlled trial where patients are allocated to operative treatment or conservative treatment of fractures of the neck of the 5th metacarpal bone. The study goal is to identify which degree of angular displacement in the fracture that requires operative intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Operative treatment | Active Comparator | Closed reduction of the fracture and osteosynthesis with 2-3 intramedullary K-wires (Bouquet method), cast treatment for 7-10 days followed by 5 weeks of buddy-strapping before removal of the K-pins |
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| Conservative treatment | No Intervention | No attempt of reduction of the fracture, 7-10 days of cast treatment followed by 5 weeks of buddy-strapping |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bouquet pinning of the 5th metacarpal bone | Procedure | The fracture is reduced under general anesthesia and 2-3 K-pins are introduced in the medullar cavity to keep the fracture in the reduced position |
| Measure | Description | Time Frame |
|---|---|---|
| Quick-DASH | Validated hand function score | 6 weeks, 3 months, 1 year, 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | VAS scale | 6 weeks, 3 months, 1 year, 2 years |
| Pain | VAS scale | 1 week, 6 weeks, 3 months, 1 year, 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lars Nordsletten, Prof. MD, PhD | University of Oslo | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oslo University Hospital | Oslo | NO-0407 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23060463 | Derived | Sletten IN, Nordsletten L, Hjorthaug GA, Hellund JC, Holme I, Kvernmo HD. Assessment of volar angulation and shortening in 5th metacarpal neck fractures: an inter- and intra-observer validity and reliability study. J Hand Surg Eur Vol. 2013 Jul;38(6):658-66. doi: 10.1177/1753193412461582. Epub 2012 Oct 11. |
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| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| Eq-5d | Validated quality of life score | 6 weeks, 3 months, 1 year, 2 years |
| Complications | All complications are noted | 1 week, 6 weeks, 3 months, 1 year, 2 years |
| Sick-leave | Days of sick-leave off work | 1 week, 6 weeks, 3 months (1 year, 2 years) |
| Range of motion in the joints in the 5th finger measured by hand therapist | total active motion 5th finger, totale passive motion 5th finger, active and passive extension and flexion in the 5th MCP-joint | 3 months, 1 year, 2 years |
| Grip strength | Compared to the non-injured hand | 3 months, 1 year, 2 years |
| Angular displacement in fracture measured in lateral x-ray, and shortening in fracture measured in AP view, of the 5th ray of the hand | 6 weeks, 1 year |