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The investigator left the institution so the study was terminated.
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| Name | Class |
|---|---|
| Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) | OTHER |
| Haaglanden Medical Centre | OTHER |
| Skane University Hospital | OTHER |
| Ghaem Hospital |
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AIM:
The aim of this study is to assess whether patients with an acute distal tubercle fracture of the scaphoid treated with a removable brace for 4 to 6 weeks have the same level of symptoms and disability 6 months after injury as the average for the normal population.
NULL HYPOTHESIS:
Patients with an acute distal tubercle fracture of the scaphoid have Quick DASH (Disabilities of the Arm Shoulder and Hand) scores at or above the population norm (a score of 13 in Norway and 10.9 in the United States) 6 months after injury when treated symptomatically with a removable brace.
Fractures of the distal scaphoid tubercle are uncommon and seem relatively benign. Not a lot is known in literature about this specific type of avulsion fracture and the treatment. Some surgeons recommend a cast for 4 to 6 weeks while others treat their patients with a removable brace. The only non-union reported in literature is Jonssen who published a case in 1990 about a non-union of a tubercle fracture in a patient with repeated trauma. Kraus et al studied 81 cases of acute scaphoid fractures and found 4 cases of tubercle avulsion fractures in this group. We suspect some patients will not seek care for this condition as it hurts for a bit and then causes no problems.
Response variables:
Explanatory variables:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fracture of Distal Tubercle of Scaphoid | Questionnaires
|
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| Measure | Description | Time Frame |
|---|---|---|
| Disability with use of QuickDASH | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Pain Intensity | Pain Intensity measured with an 11-point ordinal measure of overall pain intensity 6 months after trauma | 6 months |
| Satisfaction with Treatment | Satisfaction measured with an 11-point ordinal measure of satisfaction with treatment 6 months after trauma |
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Inclusion Criteria:
Exclusion Criteria:
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Adults with distal tubercle fracture of the scaphoid
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| Name | Affiliation | Role |
|---|---|---|
| David Ring, MD PhD | Massachusetts General Hospital | Principal Investigator |
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| OTHER |
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| 6 months |