Swelling or Malrotation of Metacarpal Shaft Fractures in the Evaluation of Rotational Deformity

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00934869
Recruitment Status : Unknown
Verified March 2013 by Hadassah Medical Organization.
Recruitment status was:  Recruiting
First Posted : July 8, 2009
Last Update Posted : March 22, 2013
Information provided by:
Hadassah Medical Organization

Brief Summary:

Rotational deformity or malunion causes the most significant functional deficit in these common fractures. The evaluation of the rotation may be performed with the metacarpophalangeal joints flexed although postoperative swelling may not enable this examination with flexion of the fingers. Furthermore, it has been shown that swelling may cause rotation of the digit itself. The investigators propose that the swelling may cause a mistake in the estimation of rotation, during surgery and early follow up period. This is of special importance when open reduction and rigid fixation is performed.


Prospective analysis of XX isolated metacarpal fractures treated, in YY patients was performed. End-on view of the finger-nail was taken with a digital camera on the day of OR, at 2 weeks and at 1 year. The photos were taken on a standard apparatus and from a distance of XX cm and evaluated using ZZ software in comparison with photos taken of the other hand, according to the involved digit. Range of motion, type of fracture and type of fixation were compared.

Condition or disease
Metacarpal Shaft Fractures

Study Type : Observational
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Swelling or Malrotation of Metacarpal Shaft Fractures in the Evaluation of Rotational Deformity
Study Start Date : August 2009
Estimated Primary Completion Date : March 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Fractures
U.S. FDA Resources

Metacarpal Shaft Fractures

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Men and Women with isolated metacarpal fractures

Inclusion Criteria:

  1. isolated metacarpal fractures in one hand- fingers 2, 3, 4, 5
  2. treated with cast or surgical treatment , closed or open reduction

Exclusion Criteria:

  1. multiple fractures simultaneously
  2. fractures in both hands
  3. former fracture in one of the fingers, two palms,metacarpal,proximal phalanx (with exception of the thumb)
  4. open fracture, open wounds, infection
  5. pregnancy, inability performing full x-ray follow up

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00934869

Contact: Shai Luria, M.D 972-2-6776342

Hadassah Medical Organization Not yet recruiting
Jerusalem, Israel
Contact: Arik Tzukert, DMD    00 972 2 6776095      
Hadassah Medical Organization Recruiting
Jerusalem, Israel
Sponsors and Collaborators
Hadassah Medical Organization Identifier: NCT00934869     History of Changes
Other Study ID Numbers: LUR01-CTIL -HMO
First Posted: July 8, 2009    Key Record Dates
Last Update Posted: March 22, 2013
Last Verified: March 2013

Additional relevant MeSH terms:
Fractures, Bone
Wounds and Injuries