The Effect of Point-of-care Ultrasound Guidance for Distal Radius Fracture Reduction

Not Applicable

Completed

• Conditions: Point-of-care Ultrasound, Distal Radius Fracture
• Interventions: Procedure: Closed fracture reduction; Device: Point-of-care ultrasound

• Registration Number: NCT02962206
• Lead Sponsor: Marcus Van Aarsen

Brief Summary

Distal radius (Colle's) fractures in adult patients are commonly reduced in the emergency department before casting. Standard of care currently requires that x-rays be performed before and after fracture reduction, and inadequate reductions may be subject to repeat attempts and are at a higher risk to require surgery. This study will assess the use of point-of-care ultrasound (POCUS) in addition to standard care as a tool to decrease the angulation at the fracture site after a reduction is performed. If this angulation is decreased, it would suggest that POCUS for distal radius fracture reduction could decrease the number of failed reduction attempts and therefore the number of repeated reduction attempts.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-11-02
• Study First Submitted QC: 2016-11-10
• Study First Posted: 2016-11-11
• Study Start: 2017-01-10
• Primary Completion: 2018-06-18
• Study Completion: 2018-06-30
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-25
• Last Update Posted: 2024-07-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 22

Inclusion Criteria

• radiographically confirmed distal radius fracture

Exclusion Criteria

• patients who do not consent
• patients with multiple acute injuries, open fractures, or other local fractures evident (a simple ulnar styloid fracture will not be considered an exclusion criterion)
• patients with neurovascular compromise
• patients with bilateral distal radius fractures
• patients with minimally displaced distal radius fractures that do not require closed reduction before casting

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Standard of care	Closed fracture reduction	Patients will undergo standard closed fracture reduction. The sedation type, reduction method, and immobilization method will be at the discretion of the treating physician. Point-of-care ultrasound will not be used.
Experimental Group	Point-of-care ultrasound	Patients will undergo standard closed fracture reduction with the addition of point-of-care ultrasound use to assess post-reduction dorsal angulation. The sedation type, reduction method, and immobilization method will be at the discretion of the treating physician.
Experimental Group	Closed fracture reduction	Patients will undergo standard closed fracture reduction with the addition of point-of-care ultrasound use to assess post-reduction dorsal angulation. The sedation type, reduction method, and immobilization method will be at the discretion of the treating physician.

Primary Outcome Measures

Name	Time	Method
Residual dorsal angulation	Collected at the same-day post-reduction xray. Data will be aggregated over 1 year

Secondary Outcome Measures

Name	Time	Method
Physician satisfaction: post-reduction questionnaire	Questionnaire to be administered immediately after reduction. Data to be aggregated during the 1 year study period
Need for orthopaedic surgery within 6 weeks of injury	To be assessed 6 weeks post-injury. Data will be aggregated over the 1 year study period	To be acquired via electronic patient charting

Trial Locations

Locations (2)

St. Joseph's Health Care London; 🇨🇦 London, Ontario, Canada

London Health Sciences Centre; 🇨🇦 London, Ontario, Canada