Distal Radius Fracture
Conditions
Keywords
wrist function, recovery
Brief summary
Distal radius fracture is the most common fracture in Sweden, but little is known about the patient's experience of pain and hand function during the first three months after the injury. This observational study will provide detailed information on a daily basis regarding pain, use of analgesic drugs, use of splints and hand function as measured weekly by a condition-specific questionnaire.
Detailed description
Two hundred patients who are treated conservatively in a cast and one hundred patients who have undergone surgery will be asked to complete a questionnaire with the following outcome measures for three months: 1. Pain (day-by-day registration on a Likert scale, range 0-10) 2. Analgesic used (day-by-day registration of specific drug, dose and number) 3. PRWE (Patient Reported Wrist Evaluation form, week-by-week registration) 4. Use of and evaluation of efficacy of prefabricated wrist splints (week-by-week registration) 5. Details of sick leave and return to work at completion of the questionnaire at three months. The study is entirely PROM-based and the patient will not require any additional appointments.
Interventions
PROCEDURETreatment of fracture by forearm cast
Patient that are not surgically treated for DRF
PROCEDURESurgical treatment of fracture
Patients that are surgically treated for DRF
Sponsors
Sahlgrenska University Hospital
Vastra Gotaland Region
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Unilateral distal radius fractures in patients without any other significant injuries regardless of ligament injuries and ulnar fractures. * Signed written consent
Exclusion criteria
* Compound injuries * Open fractures * Patients with post traumatic function deficits at any level in the affected arm prior to the distal radius fracture. * Patients with function deficits in the affected arm due to other medical conditions (e.g. Parkinsons disease, Rheumatoid Arthritis) * Reduced mental capacity (e.g. dementia, substance abuse)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient-reported hand function | Every week for three months | Patient Rated Wrist Evaluation (PRWE) questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Day-by-day pain record | Every day for three months | Patient reported pain as measured on a Likert scale 0-10 (0=no pain, 10= maximum pain) |
| Analgesics | Every day for three months | Daily record of use of analgesic drugs |
| Wrist splint usage | Every week for three months | Patient reported use of splint and evaluation of its efficacy |
Countries
Sweden
Contacts
CONTACTJoakim Stromberg, MD, PhD
CONTACTIngrid Andreasson, PhD
Outcome results
None listed