Fracture of Distal Radius and Ulna Healed With Shortening of One Bone. Clinical Significance at Skeletal Maturity

This study has been terminated.
(the study stopped because we could not recruit enough patients.)
Sponsor:
Information provided by:
Hadassah Medical Organization
ClinicalTrials.gov Identifier:
NCT00492154
First received: June 26, 2007
Last updated: July 20, 2009
Last verified: June 2009
  Purpose

The fractures of distal forearm are the most common trauma in children. Sometimes one of the bones becomes shortened as a result of fracture fragments overlap. When some amount of shortening exists, concern regarding relationship of distal radio-ulnar joint (DRUJ) arises. The common opinion is expressed in one of the textbooks and is represented by one sentence, which usually one bone shortening is well tolerated, probably does not cause a problem, and does not have clinical significance. However, pathology of ulna plus or minus variants is well described and may cause ulno-carpal abutting syndrome or radiocarpal pain. This concern may lead to more aggressive approach in treatment of a fracture, with attempts to make an equal bone length. We did not find in the literature study that investigates this problem. We postulate that obvious shortening of one bone may cause an inequality of DRUJ and can be clinically significant.


Condition
Forearm Injuries

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Fracture of Distal Radius and Ulna Healed With Shortening of One Bone. Clinical Significance at Skeletal Maturity

Resource links provided by NLM:


Further study details as provided by Hadassah Medical Organization:

Estimated Enrollment: 20
Study Start Date: September 2008
Detailed Description:

We will evaluate the x-ray films of children that at the time of the injury were between the ages 1 day and 12 years. The selection of the x-ray films will be done based on the specific codes of the wrist x-rays (Ulna or Radius).

The evaluation will be merely to children that were treated in our hospital from 1996 to 2000.We are aiming to find cases when the fractures were healed with 1cm or more of shortening of one of the forearm's bones (Radius or Ulna).

We are going to compare these cases with another 20 patients with the same characteristics as the latter groups on the exception that their fractures were healed without shortening. The two groups will be matched by age, gender and the same diagnosis.

These patients will be summoned to the clinic when they are adult in respect to the skeletal maturity. The patients will be evaluated, including clinical examination of the hand wrists (left and right), motion rang, motor muscle function, description of abnormalities if there are and x-ray of both wrists.

  Eligibility

Ages Eligible for Study:   15 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Boys and girls that are at lest 12 years old at the time of the wrist fracture.

Criteria

Inclusion Criteria:

  • Children that had had Ulna or Radius X-rays
  • Signing Informed consent.

Exclusion Criteria:

- Unwillingness to sign informed consent.

  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00492154

Locations
Israel
Hadassah Medical Organization
Jerusalem, Israel
Sponsors and Collaborators
Hadassah Medical Organization
Investigators
Principal Investigator: Naum Simanovski, MD Hadassah Medical Organization
  More Information

No publications provided

Responsible Party: Naum Simanovski, Hadassah Medical Organization
ClinicalTrials.gov Identifier: NCT00492154     History of Changes
Other Study ID Numbers: SIM04-HMO-CTILL
Study First Received: June 26, 2007
Last Updated: July 20, 2009
Health Authority: Israel: Israeli Health Ministry Pharmaceutical Administration

Keywords provided by Hadassah Medical Organization:
FRACTURE OF DISTAL RADIUS

Additional relevant MeSH terms:
Forearm Injuries
Arm Injuries
Wounds and Injuries

ClinicalTrials.gov processed this record on September 16, 2014