ClinicalTrials.gov
 Home    Search    Study Topics    Glossary  
 

  Full Text View  
  Tabular View  
  Contacts and Locations  
  Related Studies  
Fracture of Distal Radius and Ulna Healed With Shortening of One Bone. Clinical Significance at Skeletal Maturity

This study is not yet open for participant recruitment.
Verified by Hadassah Medical Organization, December 2007

Sponsored by: Hadassah Medical Organization
Information provided by: Hadassah Medical Organization
ClinicalTrials.gov Identifier: NCT00492154
  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

MedlinePlus related topics:   Fractures   

U.S. FDA Resources

Study Type:   Observational
Study Design:   Cohort, Prospective

Further study details as provided by Hadassah Medical Organization:

Biospecimen Retention:   None Retained

Biospecimen Description:

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

Criteria

Inclusion Criteria:

  • Boys and girls that are at lest 12 years old at the time of the wrist fracture.
  • Children that had had Ulna or Radius X-rays
  • Signing Informed consent.

Exclusion Criteria:

  • Unwillingness to sign informed consent.
  Contacts and Locations

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

Contacts
Contact: Naum Simanovski, MD     972-2-6776292     siman303@zahav.net.il    
Contact: Hadas Lemberg, PhD     00 972 2 6777572     lhadas@hadassah.org.il    

Locations
Israel
Hadassah Medical Organization     Not yet recruiting
      Jerusalem, Israel
      Contact: Arik Tzukert, DMD     00 972 2 6776095     arik@hadassah.org.il    
      Principal Investigator: Naum Simanovski, MD            
      Sub-Investigator: Muhammad Bashar, MD            
      Sub-Investigator: Ron Lamdan, MD            
      Sub-Investigator: Natalia Simanovsky, MD            

Sponsors and Collaborators
Hadassah Medical Organization

Investigators
Principal Investigator:     Naum Simanovski, MD     Hadassah Medical Organization, Jerusalem, Israel    
  More Information

Responsible Party:   Hadassah Medical Organization
Study ID Numbers:   SIM04-HMO-CTILL
First Received:   June 26, 2007
Last Updated:   December 17, 2007
ClinicalTrials.gov Identifier:   NCT00492154
Health Authority:   Israel: Israeli Health Ministry Pharmaceutical Administration

Keywords provided by Hadassah Medical Organization:
FRACTURE OF DISTAL RADIUS  

Study placed in the following topic categories:
Fractures, Bone
Wounds and Injuries
Disorders of Environmental Origin
Forearm Injuries
Arm Injuries

ClinicalTrials.gov processed this record on September 05, 2008




Links to all studies - primarily for crawlers