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Elbow fractures are very common in young children. Type I supracondylar fractures are stable fractures to the elbow that are treated conservatively across the world and typically heal very well without complications. There are several treatment options, including an above elbow cast or long arm splint. This study aims to determine if one treatment is no worse than the other in order to standardize the treatment of these fractures at our institution. The investigators hope to save families from extra hospital visits and reduce the amount of x-rays required for treatment of these fractures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Above Elbow Cast + Collar/cuff | Participants randomized to this group will be treated with an Above Elbow Cast & collar/cuff for 3 weeks |
| |
| Long Arms Splint + Collar/Cuff | Participants randomized to this group will be treated with a long arm splint & collar/cuff for 3 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Above Elbow Cast | Procedure |
| ||
| Long Arm Splint |
| Measure | Description | Time Frame |
|---|---|---|
| Baumann's Angle | Baumann's angle of the injured elbow will be measured 6 months following the injury | 6 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Humero-Capitellar Angle | Humero-Capitellar Angle will be measured 6 Months following the injury | 6 Months |
| Functional Outcome Questionnaire | All participants will complete the Activity Scale for Kids-P 6 months following the injury |
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Inclusion Criteria:
Exclusion Criteria:
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Eligible participants will be recruited from the Emergency Department at BC Children's Hospital
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| Name | Affiliation | Role |
|---|---|---|
| Kishore Mulpuri, MBBS, MS, MHSc | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| British Columbia Children's Hospital | Vancouver | British Columbia | V6H 3V4 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36776416 | Derived | Siu C, Farrell S, Schaeffer EK, Doan Q, Dobbe A, Bone J, Reilly CW, Mulpuri K. Long-Arm Splinting Versus Above-Elbow Casting for Type 1 Supracondylar Fractures of the Humerus in Children: a Randomized Controlled Trial. SN Compr Clin Med. 2023;5(1):72. doi: 10.1007/s42399-023-01417-z. Epub 2023 Feb 3. |
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| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| Procedure |
|
| 6 Months |