Conservative or Operative Treatment of Fractures in the Neck of the 5th Metacarpal Bone

Conservative Treatment Versus Operative Treatment of Extra-articular Fractures in the Neck of the 5th Metacarpal Bone- A Prospective Randomized Trial

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01139528

Acronym

MC-studien

Enrollment

Registered

2010-06-08

Start date

2010-05-31

Completion date

2013-10-31

Last updated

2015-04-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fractures of the Neck

Keywords

Fracture, 5th metacarpal bone, Bouquet pinning, Fractures of the neck of the 5th metacarpal bone

Brief summary

A multi-site randomized controlled trial where patients are allocated to operative treatment or conservative treatment of fractures of the neck of the 5th metacarpal bone. The study goal is to identify which degree of angular displacement in the fracture that requires operative intervention.

Interventions

PROCEDUREBouquet pinning of the 5th metacarpal bone

The fracture is reduced under general anesthesia and 2-3 K-pins are introduced in the medullar cavity to keep the fracture in the reduced position

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patients over 18 years of age with fractures of the neck of the 5th metacarpal bone

Exclusion criteria

* Less than 30 degrees of volar angulation in the fracture * rotational deformity * pseudoclawing * intra-articular involvement * ad latus displacement more than one half of a bone width * concomitant fractures or soft tissue damage * admittance more than 14 days after injury * non-compliant patient (language, drugs, tourist) * patient who refuses to participate in the study

Design outcomes

Primary

Measure	Time frame	Description
Quick-DASH	6 weeks, 3 months, 1 year, 2 years	Validated hand function score

Secondary

Measure	Time frame	Description
Pain	1 week, 6 weeks, 3 months, 1 year, 2 years	VAS scale
Eq-5d	6 weeks, 3 months, 1 year, 2 years	Validated quality of life score
Complications	1 week, 6 weeks, 3 months, 1 year, 2 years	All complications are noted
Patient satisfaction	6 weeks, 3 months, 1 year, 2 years	VAS scale
Range of motion in the joints in the 5th finger measured by hand therapist	3 months, 1 year, 2 years	total active motion 5th finger, totale passive motion 5th finger, active and passive extension and flexion in the 5th MCP-joint
Grip strength	3 months, 1 year, 2 years	Compared to the non-injured hand
Angular displacement in fracture measured in lateral x-ray, and shortening in fracture measured in AP view, of the 5th ray of the hand	6 weeks, 1 year	—
Sick-leave	1 week, 6 weeks, 3 months (1 year, 2 years)	Days of sick-leave off work

Countries

Norway

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026