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

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified March 2013 by Hadassah Medical Organization.
Recruitment status was:  Recruiting
Information provided by:
Hadassah Medical Organization Identifier:
First received: July 6, 2009
Last updated: March 21, 2013
Last verified: March 2013

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.

Metacarpal Shaft Fractures

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Swelling or Malrotation of Metacarpal Shaft Fractures in the Evaluation of Rotational Deformity

Resource links provided by NLM:

Further study details as provided by Hadassah Medical Organization:

Study Start Date: August 2009
Estimated Primary Completion Date: March 2015 (Final data collection date for primary outcome measure)
Metacarpal Shaft Fractures


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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: 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
  More Information Identifier: NCT00934869     History of Changes
Other Study ID Numbers: LUR01-CTIL -HMO
Study First Received: July 6, 2009
Last Updated: March 21, 2013

Additional relevant MeSH terms:
Fractures, Bone
Congenital Abnormalities
Wounds and Injuries processed this record on August 21, 2017