NL-OMON55623已完成不适用
Dorsal dislocations or hyperextension injuries with a volar plate avulsion of the proximal interphalangeal joint, conservative treatment with or without supervised hand-therapy? - PINOT-study
OLVG0 个研究点目标入组 222 人开始时间: 待定最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 222
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18 至 99（—）
入选标准
- •- All adult patients with a PIP hyperextension injury leading to a complete
- •dorsal dislocation, objectified by a doctor at the emergency department or by
- •radiograph at the emergency department.
- •- All adult patients with PIP hyperextension injury leading to a volar plate
- •avulsion, objectified by an avulsion fracture of the proximal volar part of the
- •mid phalanx (< 40% of the joint) on a radiograph at the emergency department. -
- •Patients >=18 years
- •- Single PIP hyperextension injuries or dislocation of the fingers
- •- A stable joint after reduction, assessed by dorsal, volar, and lateral stress
- •on the PIP joint in extension and 30 degrees of PIP flexion.
- •- Standard conservative treatment with a dorsal block splint in 0 degrees
- •extension for four weeks.
- •- Avulsion fracture of the proximal volar part of the mid phalanx (< 40% of the
- •joint)* on a radiograph at the emergency department .
- •- Standardized Eaton classification: type I,II,IIIaslocat
排除标准
- •- An avulsion fracture of the PIP joint, >40% of the articular surface
- •- Re-displacement during digit motion
- •- An unstable joint after reduction assessed by dorsal, volar, and lateral
- •stress on the PIP joint, requiring operative treatment
- •- Irreducible dislocations
- •- Suspicion for interposition of the volar plate
- •- Operation indication
- •- Hyperextension injuries of the IP of the thumb
- •- Multiple PIP hyperextension injuries or dislocation of the fingers
- •- Patients with impaired hand function prior to injury due to
- •arthrosis/neurological disorders of the upper limb
- •- Multiple trauma patients (Injury Severity Score (ISS) >=16)
- •- Other injuries in the ipsilateral extremity
- •- Insufficient comprehension of the Dutch language to understand a
- •rehabilitation program and other treatment information as judged by the
- •attending physician
- •- Patients suffering from disorders of bone metabolism other than osteoporosis
- •(i.e. Paget*s disease, renal osteodystrophy, osteomalacia
- •- Patients suffering from connective tissue disease or (joint)
- •hyper-flexibility disorders such as Marfan*s, Ehler Danlos or other related
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