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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04294199
Other study ID # H43929
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date October 31, 2018
Est. completion date August 11, 2026

Study information

Verified date December 2023
Source Baylor College of Medicine
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Do teen-age patients with a dislocated knee cap do better with or without a brace?


Description:

This study will look at two different ways to treat teen-age patients who have had a dislocation of their knee cap. Both groups will receive the physical therapy treatment for knee cap dislocation but one group will first be in a brace for a week and the other group will start moving in therapy right away.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 60
Est. completion date August 11, 2026
Est. primary completion date June 15, 2024
Accepts healthy volunteers No
Gender All
Age group 11 Years to 17 Years
Eligibility Inclusion Criteria: - Male and female adolescents between 11-17 years - Medical diagnosis of 1st time lateral patellar instability episode (dislocation or subluxation) - Subjective history of knee shifting, instability, popping out, knee effusion - Apprehension test is positive and has medial patellar tenderness - Referred to the Texas Children's Hospital (TCH) outpatient sports medicine clinic from an emergency room facility, urgent care or pediatrician within 10 days of the injury. - Free of co-morbidities that would prevent or limit rehabilitation including cardiac, pulmonary, psychiatric (except Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD), orthopedic, neurological - Must be able to follow directions and participate in rehabilitation protocol for the 3-month study period. Exclusion Criteria: - Imaging or clinical findings suggest surgical intervention is needed i.e. fracture, osteochondral defect, Lachman or other positive knee ligament special tests.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Early Range of MOtion
Groups will be compared to see if immobilization or early range of motion is better at returning to their sport after patellar dislocation.

Locations

Country Name City State
United States Texas Children's Hospital Houston Texas

Sponsors (1)

Lead Sponsor Collaborator
Baylor College of Medicine

Country where clinical trial is conducted

United States, 

References & Publications (6)

Armstrong BM, Hall M, Crawfurd E, Smith TO. A feasibility study for a pragmatic randomised controlled trial comparing cast immobilisation versus no immobilisation for patients following first-time patellar dislocation. Knee. 2012 Oct;19(5):696-702. doi: 1 — View Citation

Cheng B, Wu X, Ge H, Qing Sun Y, Zhang Q. Operative versus conservative treatment for patellar dislocation: a meta-analysis of 7 randomized controlled trials. Diagn Pathol. 2014 Mar 18;9:60. doi: 10.1186/1746-1596-9-60. — View Citation

Erickson BJ, Mascarenhas R, Sayegh ET, Saltzman B, Verma NN, Bush-Joseph CA, Cole BJ, Bach BR Jr. Does Operative Treatment of First-Time Patellar Dislocations Lead to Increased Patellofemoral Stability? A Systematic Review of Overlapping Meta-analyses. Arthroscopy. 2015 Jun;31(6):1207-15. doi: 10.1016/j.arthro.2014.11.040. Epub 2015 Jan 28. — View Citation

Matic GT, Magnussen RA, Kolovich GP, Flanigan DC. Return to activity after medial patellofemoral ligament repair or reconstruction. Arthroscopy. 2014 Aug;30(8):1018-25. doi: 10.1016/j.arthro.2014.02.044. Epub 2014 Apr 24. — View Citation

Saccomanno MF, Sircana G, Fodale M, Donati F, Milano G. Surgical versus conservative treatment of primary patellar dislocation. A systematic review and meta-analysis. Int Orthop. 2016 Nov;40(11):2277-2287. doi: 10.1007/s00264-015-2856-x. Epub 2015 Jul 23. — View Citation

Vavken P, Wimmer MD, Camathias C, Quidde J, Valderrabano V, Pagenstert G. Treating patella instability in skeletally immature patients. Arthroscopy. 2013 Aug;29(8):1410-22. doi: 10.1016/j.arthro.2013.03.075. Epub 2013 May 25. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Kujala Knee Score 13 item questionnaire to rate pain, function, ambulation, and instability 10 minutes
Primary Tegner Activity Scale 11 levels of activity from complete inability to function to advanced sports participation 5 minutes
Primary Isokinetic Strength using Biodex Force of movement is measured in newtons and torque and corrected for body weight 30 minutes
Primary Passive Range of Motion Measured with goniometer to record full range of motion in knee flexion and extension 5 minutes
Primary Edema Assessment Measure of knee circumference 2 minutes
Secondary Numerical Pain Rating Scale Pain rated by patient on scale of 0-10. 1 minute
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