The Effect of Point-of-care Ultrasound Guidance for Distal Radius Fracture Reduction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 22
- 试验地点
- 4
- 主要终点
- Residual dorsal angulation
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •radiographically confirmed distal radius fracture
排除标准
- •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
结局指标
主要结局
Residual dorsal angulation
时间窗: Collected at the same-day post-reduction xray. Data will be aggregated over 1 year
次要结局
- 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)
研究者
Marcus Van Aarsen
Resident Physician
Western University, Canada