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Exploration of Wrist Soft Tissue Injuries Associated With Wrist Fractures

Not Applicable
Completed
Conditions
Triangular Fibrocartilage Complex Injuries
Registration Number
NCT01145716
Lead Sponsor
Linkoeping University
Brief Summary

The purpose of this study is to describe and stage lesions of the triangular fibrocartilage complex (TFCC) in association with distal radius fractures. 20 patients with dorsally dislocated AO type A fractures of the distal radius with sufficient displacement (based of cadaveric data) will be included. After stability testing and wrist arthroscopy. The TFCC is explored through a volar incision and injuries were documented and repaired from this approach.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Age 18-65
  • Distal radius fracture
  • Displacement > 20 degrees of dorsal angulation
Exclusion Criteria
  • Previous significant wrist injury
  • Declines to participate
  • Ulnar styloid fracture at base or proximal to it

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Residual instability symptomsApprox 2-6 months to include the patients that meet the inclusion criteria. They will be followed for 6 momths

Mechanisms of injury are poorly previously described. This study will hopefully confirm cadeveric data. There is some evidence that patients might benefit from acute repair. Residual instability can be both ulnocarpal and radioulnar.

Secondary Outcome Measures
NameTimeMethod
Adverse eventsThree months

Patients that accept to participate will undergo exploration from a (new) ulnovolar approach. The study is purely descriptive. Patients are monitored for adverse events such as nerve injury and infection for 3 months.

Trial Locations

Locations (1)

Dept of orthopedics

🇸🇪

Linkoeping, Sweden

Dept of orthopedics
🇸🇪Linkoeping, Sweden

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