Fracture Finger
Conditions
Brief summary
Fracture immobilization with Buddy taping is not inferior to Splint immobilization for non-displaced extra-articular paediatric finger fractures. However, whether the same applies for reduced finger fractures is unclear.
Detailed description
Displaced fractures will be reduced in the paediatric ED by Emergency physicians. After fracture reduction, fracture immobilization will either be done with a Splint immobilization or a fingertaping. After 4 and 21 days, clinical and radiographic controls will take place at the Hand surgery outpatient clinic.
Interventions
After closed reduction of a displaced finger fracture, fracture immobilization with either Buddy taping or Splint immobilization
Sponsors
Study design
Eligibility
Inclusion criteria
* extraarticular displaced finger fractures of the proximal or middle phalanges
Exclusion criteria
* fractures of the thumb * fractures that are open, instable, pathologic or multifragmented * multiple fractures of the Hand * phalangeal neck fractures * presentation later than 5 days after the injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| secondary fracture displacement | 5 and 21 days after fracture reduction | X-ray controls |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient comfort | 5 and 21 days after fracture reduction | visual analog scale (VAS): Smiley scale with a range from 1 to 10, 10 being the highest score possible, indicating that the Patient comfort was very high. |
| Need for analgesic medication | 5 and 21 days after fracture reduction | interview with Patient and parents |
| total range of Motion | 6 month after fracture reduction | measurement |
Countries
Switzerland