Upper limb fractures in children Injury, Occupational Diseases, Poisoning Fracture of upper limb, level unspecified
Conditions
Interventions
Participants will be randomised to one of two basic treatment interventions:
1. Traditional plaster of Paris or fibreglass rigid cast with follow-up in the fracture clinic for removal
2. Home-remova
Sponsors
Oxford Radcliffe Hospitals NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All children (both males and females) with stable upper limb fracture 2. Aged between 2 and 16 years 3. Presenting within 72 hours of sustaining the injury 4. Attending with a responsible adult
Exclusion criteria
Exclusion criteria: 1. Fracture other than simple torus, greenstick or stable epiphyseal fracture 2. Multi-limb trauma 3. In-patient 4. Suspicion of non-accidental injury 5. Previous surgery or significant injury to affected arm 6. Developmental delay 7. Failure to thrive 8. Pre-existing musculoskeletal disease affecting the upper limb 9. On medications that influence bone metabolism 10.Live outside the hospital catchment area or will find attending for follow-up difficult
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical equivalence using the difference in Childhood Health Assessment Questionnaire score between pre-injury and one week post cast removal. Equivalence will be defined by a difference of less than 10%. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clinical equivalence using the difference in Childhood Health Assessment Questionnaire score between pre-injury and 6 months post cast removal 2. Cost effectiveness of flexible casts over rigid casts 3. User satisfaction of flexible casts using a modified Paediatric Quality of Life Inventory (PedsQL) Healthcare Satisfaction Questionnaire to be completed at 1 week post cast removal | — |
Countries
United Kingdom
Outcome results
None listed