Splinting Versus Casting for Type I Supracondylar Fractures

Completed

• Conditions: Bone Fractures
• Interventions: Procedure: Above Elbow Cast; Procedure: Long Arm Splint

• Registration Number: NCT01912365
• Lead Sponsor: University of British Columbia

Brief Summary

Elbow fractures are very common in young children. Type I supracondylar fractures are stable fractures to the elbow that are treated conservatively across the world and typically heal very well without complications. There are several treatment options, including an above elbow cast or long arm splint. This study aims to determine if one treatment is no worse than the other in order to standardize the treatment of these fractures at our institution. The investigators hope to save families from extra hospital visits and reduce the amount of x-rays required for treatment of these fractures.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2013-07-26
• Study First Submitted QC: 2013-07-30
• Study First Posted: 2013-07-31
• Study Start: 2013-08
• Primary Completion: 2017-06
• Study Completion: 2017-06
• Status Verified: 2018-01
• Last Update Submitted: 2018-01-08
• Last Update Posted: 2018-01-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

• Ages 3-12
• Type 1 supracondylar fracture

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Exclusion Criteria

• A type 2 or 3 supracondylar fracture
• Neurovascular compromise associated with the fracture
• Previous diagnosis with a metabolic or structural bone disease
• Other fractures to ipsilateral upper extremity
• History of injury to affected elbow

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Above Elbow Cast + Collar/cuff	Above Elbow Cast	Participants randomized to this group will be treated with an Above Elbow Cast \& collar/cuff for 3 weeks
Long Arms Splint + Collar/Cuff	Long Arm Splint	Participants randomized to this group will be treated with a long arm splint \& collar/cuff for 3 weeks

Primary Outcome Measures

Name	Time	Method
Baumann's Angle	6 Months	Baumann's angle of the injured elbow will be measured 6 months following the injury

Secondary Outcome Measures

Name	Time	Method
Functional Outcome Questionnaire	6 Months	All participants will complete the Activity Scale for Kids-P 6 months following the injury
Humero-Capitellar Angle	6 Months	Humero-Capitellar Angle will be measured 6 Months following the injury

Trial Locations

Locations (1)

British Columbia Children's Hospital; 🇨🇦 Vancouver, British Columbia, Canada