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Wrist Fractures clinical trials

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NCT ID: NCT05650996 Recruiting - Clinical trials for Distal Radius Fracture

Impact of Early ADL Participation on Outcomes Post DRF

Start date: April 18, 2023
Phase: Phase 1
Study type: Interventional

This study is a randomized controlled trial (RCT). This RCT which will study the effect of performing daily activities early after a distal radius fracture being treated conservatively in a cast. This study will have two groups. The experimental group will watch a video and be given a handout on how to perform daily activities with the hand of the injured wrist while in a cast and cast care. The control group will watch a video on cast care and be given a handout on cast care. Outcome measures will be taken at initial evaluation between 0-3 weeks, at 6 weeks, at 9 weeks, and at 3 months. Outcome measures will include the Michigan Wrist Evaluation, Visual Analog Pain Scale, Tampa Scale of Kinesiophobia-11 Scale, finger mobility testing, grip and pinch strength, and the 9 hole peg test to test fine motor coordination. Outcome measure scores will be compared between groups using a t-test statistical test. Outcome measure scores will also be tested within groups using a paired t-test.

NCT ID: NCT05578612 Recruiting - Clinical trials for Distal Radius Fracture

Timing of Bridge Plate Removal and Distal Radius Fracture Outcomes

TORPEDO
Start date: January 5, 2023
Phase: N/A
Study type: Interventional

The purpose of this randomized control trial will be to determine whether the duration of bridge plate fixation of distal radius fractures can be reduced to 6-8 weeks without worsening of functional outcomes relative to the current standard of greater than 12 weeks of fixation. The secondary aim of the study is to determine whether a reduced duration of bridge plate fixation leads to an increase in wrist range of motion following plate removal compared to the standard duration of fixation. 100 patients with comminuted distal radius fractures that are indicated for bridge plate fixation will be randomized to the Accelerated Removal arm (n = 50) or the Standard Removal arm (n = 50).

NCT ID: NCT05183477 Recruiting - Wrist Fracture Clinical Trials

Fast Track for Wrist and Scaphoid Fractures

Start date: December 17, 2021
Phase: N/A
Study type: Interventional

This is a mono centric, prospective, randomised trial on the implementation and assessment of a shortened pathway for mono-trauma of the wrist and suspected fracture of distal radius and/or ulna and/or scaphoid bone.

NCT ID: NCT04976335 Recruiting - Clinical trials for Distal Radius Fracture

Quantitative and Clinical Assessment of Flexor Tendon Gliding Following Application of a Bioresorbable Hydrogel: A Prospective, Randomized Study in Patients Undergoing Distal Radius Fracture Repair

Start date: September 13, 2021
Phase: N/A
Study type: Interventional

The investigators will be evaluating the use of versawrap in the setting of distal radius fractures by placing membrane between plate and flexor tendons. Investigators will then evaluate tendon gliding morphology and number of tendon ruptures

NCT ID: NCT04324580 Recruiting - Clinical trials for Distal Radius Fracture

Postoperative Immobilization and Physical Therapy Following Volar Locked Plating for Distal Radius Fractures

Start date: June 18, 2020
Phase: N/A
Study type: Interventional

The purpose of this study is to see if splinting and formal physical therapy are necessary following surgical fixation (open reduction internal fixation) of distal radius fractures (broken wrist). Currently there is no consensus for post-operative protocol following fixation of distal radius fractures. The decision to splint (late mobilization) and prescribe formal physical therapy vs. not to splint (early mobilization) and use self-guided physical therapy is based on surgeon or institutional preference. The goal of this study is to determine if early mobilization leads to improved outcomes and decreased costs without increasing pain or the loss of hardware fixation.

NCT ID: NCT04113044 Recruiting - Hip Fractures Clinical Trials

Go Fit Fast, Recovery Trajectory Using PROMIS®, Linking PROMIS®

Start date: February 1, 2021
Phase:
Study type: Observational

Prospective data will be collected in approximately 3500 patients (700 per 5 injury groups). Patients will be followed up according to the standard (routine) for up to 1 year after the treatment. Data collection will include underlying disease, treatment details, patient reported outcomes (PROs), anticipated or procedure-related adverse events (i.e. complications), and radiological outcomes.

NCT ID: NCT03898154 Recruiting - Clinical trials for Distal Radius Fracture

Perioperative Glucocorticoid Administration in the Treatment of Adult Distal Radius Fractures

Start date: July 10, 2019
Phase: Phase 4
Study type: Interventional

The purpose of this investigation is to compare functional outcome measures and range of motion for patients receiving glucocorticoid (GC) injections versus those not receiving GCs for the treatment of distal radius fractures. The investigators hypothesize that patients who receive GC will have improved ROM and functional outcome measures compared to patients who do not receive GC. In addition, this study aims to determine if there is a difference in rates of complications and postoperative pain control between the GC and non-GC groups. In order to accomplish these aims, the investigators will conduct a prospective, randomized, controlled investigation.

NCT ID: NCT03835065 Recruiting - Clinical trials for Distal Forearm Fractures

Long Arm Vs Short Arm Fiberglass Cast for Treatment of Displaced Distal Radius Fractures

Start date: February 12, 2019
Phase: N/A
Study type: Interventional

The aim of the study is to determine by multicenter randomized controlled trial whether short arm fiberglass casts are as effective as long arm casts for immobilizing displaced pediatric distal third forearm fractures that have undergone closed reduction. The primary outcome is loss of reduction requiring cast wedging, recasting, repeat reduction, or surgical intervention. Secondary outcomes will include Patient Reported Outcome Measures for physical function, such as Pedi-FABS, PROMIS (Patient Reported Outcomes Measurement Information System) Upper Extremities , and UCLA (University of California Los Angelos) Activity Scale, and pain/comfort levels,such as PROMIS Pediatric Pain Interference, PROMIS Pediatric Pain Intensity, and VAS ( Visual Analogue Scale) comfort in cast. In addition, secondary outcomes include complications (skin irritation, compartment syndrome, elbow stiffness, cast saw burns etc). The investigators will assess potential risk factors for loss of reduction including initial displacement, level of fracture (physeal, metaphyseal, meta-diaphyseal), initial translation, initial angulation, age, sex, cast index, padding index, adequacy of initial reduction, and provider level of training.

NCT ID: NCT02957240 Recruiting - Clinical trials for Musculoskeletal Pain

Graded Motor Imagery for Women at Risk for Developing Type I CRPS Following Closed Treatment of Distal Radius Fractures

Start date: October 1, 2018
Phase: N/A
Study type: Interventional

Nearly 2 out of 10 women will sustain a distal forearm fracture throughout their lifespan.Recent longitudinal studies illustrate that as many as 1/3 of all persons who undergo closed reduction and casting for distal radius fractures (DRF) go on to develop type 1 complex regional pain syndrome (CRPS). Graded motor imagery (i.e., motor imagery and mirror therapy), a movement representation technique, is strongly supported in the literature as a treatment of CRPS and has recently been suggested as a potential strategy to prevent its onset. Other complications include disability, wrist/forearm tightness and sensorimotor changes. The investigators propose that an early intervention protocol which includes graded motor imagery (GMI) will improve the pain, functional and upper limb sensorimotor outcomes of persons following closed reduction and casting of DRF relative to a standard of care intervention.

NCT ID: NCT02346929 Recruiting - Clinical trials for Distal Radius Fracture

Hematoma Block for Distal Radius Fracture

Hematoma Block
Start date: August 2014
Phase: N/A
Study type: Interventional

The purpose of this study is to determine the efficacy of ultrasound guided hematoma block versus traditional "blind" hematoma block for analgesia in distal radius fracture reduction.