Conservative or Operative Treatment of Fractures in the Neck of the 5th Metacarpal Bone

Oslo University Hospital85 enrolled

Overview

A multi-site randomized controlled trial where patients are allocated to operative treatment or conservative treatment of fractures of the neck of the 5th metacarpal bone. The study goal is to identify which degree of angular displacement in the fracture that requires operative intervention.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Fractures of the Neck

Interventions

Bouquet pinning of the 5th metacarpal bonePROCEDURE

The fracture is reduced under general anesthesia and 2-3 K-pins are introduced in the medullar cavity to keep the fracture in the reduced position

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients over 18 years of age with fractures of the neck of the 5th metacarpal bone Exclusion Criteria: * Less than 30 degrees of volar angulation in the fracture * rotational deformity * pseudoclawing * intra-articular involvement * ad latus displacement more than one half of a bone width * concomitant fractures or soft tissue damage * admittance more than 14 days after injury * non-compliant patient (language, drugs, tourist) * patient who refuses to participate in the study

Locations (1)

Oslo University Hospital

Oslo, Norway

Outcomes

Primary Outcomes

Quick-DASH

Validated hand function score

Time frame: 6 weeks, 3 months, 1 year, 2 years

Secondary Outcomes

Patient satisfaction

VAS scale

Time frame: 6 weeks, 3 months, 1 year, 2 years

Pain

VAS scale

Time frame: 1 week, 6 weeks, 3 months, 1 year, 2 years

Eq-5d

Validated quality of life score

Time frame: 6 weeks, 3 months, 1 year, 2 years

Complications

All complications are noted

Time frame: 1 week, 6 weeks, 3 months, 1 year, 2 years

Sick-leave

Days of sick-leave off work

Time frame: 1 week, 6 weeks, 3 months (1 year, 2 years)

Range of motion in the joints in the 5th finger measured by hand therapist

total active motion 5th finger, totale passive motion 5th finger, active and passive extension and flexion in the 5th MCP-joint

Time frame: 3 months, 1 year, 2 years

Grip strength

Compared to the non-injured hand

Time frame: 3 months, 1 year, 2 years

Angular displacement in fracture measured in lateral x-ray, and shortening in fracture measured in AP view, of the 5th ray of the hand

Data from ClinicalTrials.gov

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