Acute sprain of the proximal interphalangeal joints of the fingers
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Adults over 18 years old - Type I and II and III of the Eaton classification (except if fracture/luxation with more than 50% of the articular surface injured) - Trauma of one articulation only - consultation within 2 weeks of trauma Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 53 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 7
Exclusion criteria
Exclusion criteria: - Patients under 18 years old and over 80 years old - Pregnant/nursing women - Eaton classification Type II with a fracture affecting more than 50% of the articular surface, or persistant instability after reduction. - Open wounds, nerve lesion with sensitive issue and any wound needing a surgical intervention - Underlying pathologies: rhumatological, neurological, congenital (giving hyperextensive articulations as a result) - corticoids allergy - infection within the treated zone - trauma antecedents at the level of the tendons.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: - Assess the effect of corticoids in the acute treatment of the sprain of the proximal interphalangeal joints of the fingers. The future aim is to assess if corticoids can be used as a first choice treatment, instead of a long immobilization or a careful precocious mobilization.;Secondary Objective: Not applicable; Primary end point(s): - Deficit in flexion/extension as measured by the Goniometer ( 40°) - Hyperextension laxity ( 5°) as measured by the Goniometer - Diameter of the proximal interphalangeal joints of the fingers - Prehension force, as measured by the Dynamometer - Pain at the level of the volar plate, as assessed by the EVA pain scale - Mini-DASH questionnaire (Questionnaire of the Disabilities of the Arm, Shoulder and Hand score) - Michigan Hand questionnaire (Auto-evaluation of patient satisfaction) ; Timepoint(s) of evaluation of this end point: At J0 (date of first Diprophos injection), J7 and J30. Mini-Dash and Michigan Hand questionnaire: J7 and J30 only. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Not applicable;Timepoint(s) of evaluation of this end point: Not applicable | — |
Countries
Belgium
Contacts
Centre Hospitalier Universitaire Brugmann