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Post-intervention outcomes comparing casting in distal radius fractures of four weeks versus six weeks.
Cast immobilization for 6 weeks remains the mainstay of therapy for distal radius fractures. To challenge the therapeutic time frame, participants will be randomized into two arms, and the treatment arm will undergo immobilization for 4 weeks. Outcomes will be assessed at cast removal and then at 3 and 6 months prospectively using the Quick-DASH score and the DASH score (only at 6 months).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cast immobilization for four weeks | Experimental | Scotch cast immobilization for a period of four weeks applied to distal radius fractures. |
|
| Cast immobilization for six weeks | Active Comparator | Scotch cast immobilization for a period of six weeks applied to distal radius fractures |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Short Arm Cast for Distal Radius Fracture for four weeks | Procedure | Scotch cast immobilization below elbow for four weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quick Disability of Arm, Shoulder, and Hand Score (Quick DASH) | Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability. | Four weeks (Cast Removal) |
| Quick Disability of Arm, Shoulder, and Hand (Quick DASH) | Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability. | Six weeks (Cast Removal) |
| Quick Disability of Arm, Shoulder, and Hand (Quick DASH) | Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability. | 3 months after cast removal |
| Quick Disability of Arm, Shoulder, and Hand (Quick DASH) | Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability. | 6 months after cast removal |
| Disability of Arm, Shoulder, and Hand Score | The Disability of Arm, Shoulder, and Hand Score (DASH) is a 30-item questionnaire with scores ranging from 1 to 5 for each item. The final scores are formulated from 0 to 100, where a higher score indicates greater disability and a lower score indicates little to no disability. | 6 months post-removal of cast immobilizations |
| Measure | Description | Time Frame |
|---|---|---|
| Radial Deviation | Radial deviation ranges from 15-25°. More deviation suggests more joint movement and is associated with better outcomes. | 6 months post-cast immobilization removal |
| Ulnar Deviation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mohammad Nabeel Aamir Syed, MBBS, MD | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Liaquat National Hospital | Karachi | Sindh | 74800 | Pakistan |
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| Short Arm Cast for Distal Radius Fracture for six weeks | Procedure | Scotch cast immobilization below elbow for six weeks |
|
|
Ulnar deviation ranges from 30-45 °. More deviation suggests more joint movement and is associated with better outcomes.
| 6 months post-cast immobilization removal. |
| Dorsiflexion | Dorsiflexion ranges from 8-26 °. More flexion suggests more joint movement and is associated with better outcomes. | 6 months post-cast immobilization removal. |
| Palmar Flexion | Palmar flexion ranges from 70-90 °. More flexion suggests more joint movement and is associated with better outcomes. | 6 months post-cast immobilization removal. |
| ID | Term |
|---|---|
| D000092503 | Wrist Fractures |
| ID | Term |
|---|---|
| D014954 | Wrist Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
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| ID | Term |
|---|---|
| D013165 | Splints |
| C119975 | POLR1G protein, human |
| ID | Term |
|---|---|
| D016267 | External Fixators |
| D009984 | Orthopedic Fixation Devices |
| D009983 | Orthopedic Equipment |
| D013523 | Surgical Equipment |
| D004864 | Equipment and Supplies |
| D053831 | Surgical Fixation Devices |
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