Fractured distal radius (broken wrist) Musculoskeletal Diseases Fractured distal radius (broken wrist)
Conditions
Interventions
Initially, patients attend the accident and emergency department with their injury. If the patient has fractured their distal radius (broken their wrist) they have a temporary plaster cast applied at
Sponsors
University of Oxford
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Sustained a fracture of the distal radius, which is defined as a fracture within or equal to 3 cm of the radio-carpal joint 2. Over the age of 16 3. Able to give informed consent 4. The treating outpatient clinician believes that they would not benefit from surgery in the form of further manipulation of the fracture under anaesthetic or the insertion of metalwork 5. The patient is required to have a change of cast at the initial outpatient review
Exclusion criteria
Exclusion criteria: 1. The injury is more than one week old 2. The fracture extends more than 3 cm from radio carpal joint 3. The fracture is open 4. There is evidence that the patient would be unable to adhere to trial procedures or complete questionnaires, such as cognitive impairment 5. The patient sustained fractures to other areas of the body at the time they broke their wrist
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment rate is determined from the number of eligible participants who consent to taking part in the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Wrist function is assessed using the Patient Rated Wrist Evaluation (PRWE) which is a validated questionnaire consisting of 15 items specifically related to the function of the wrist. It is measured at baseline and three months 2. Health related quality of life is assessed using the EQ-5D-5L which is a validated questionnaire relating to daily activities with a 5-level answer possibility, which will be converted into multi-attribute utility scores using an established algorithm at baseline and three months 3. Complication rate is assessed by patient review and the need for further follow up (physiotherapy etc) at three months 4. Radiographic evaluation: Standard posterior-anterior and lateral radiographs will be taken at baseline and at the routine follow-up appointment 5-weeks after the injury | — |
Countries
United Kingdom
Outcome results
None listed