Non-thumb Metacarpal Shaft Fracture
Conditions
Keywords
Metacarpal shaft fracture
Brief summary
The goal of this clinical trial is to see if buddy tape can treat shaft fracture of hand long fingers as well as splint. The main question it aims to answer is: Two months after the fracture, are the hand activities as good with buddy taping as with splint? Researchers will compare buddy tape group to splint group to see if the strength of the arm is not lower with buddy tape. Participants will attend 4 visits after receiving either buddy tape or splint, to control their hand strength and the correct healing of their franture.
Detailed description
Patients will be identified in the emergency ward after x-rays are positive for a non-thumb metacarpal fracture. If they consent to participate in the study, they will be put into either the buddy taping or the short arm splint group. This decision will be made through randomization, and the physician will not select which group the patient is in. As in routine practice, the patients are seen again on D15 ± 3 days, D30 ± 5 days and D60 ± 5 days in an orthopedic consultation with X-ray to control the hand face, strict profile and 3/4. Both devices are removed at the check-up consultation on day 30 ± 5 days. The patients will then attend the end of trial visit at Day 90 ± 5 days in an orthopedic consultation with X-ray. No specific act is added by this research.
Interventions
DEVICEbuddy tape
Buddy-taping a finger dynamically splints one finger to an adjacent, uninjured finger.
DEVICEsplint
Short arm splint immobilize and maintain stability of the injured finger, the hand is immobilized in the intrinsic plus position with syndactyly of the injured finger and adjacent finger
Sponsors
Centre Hospitalier Sud Francilien
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Adult patient 2. Fingers 2 to 5 metacarpal shaft fracture, little or no displacement 3. Tilt less than or equal to thirty degrees 4. No rotation disorder 5. Patient who has given consent to participate in the study and has signed an informed consent
Exclusion criteria
1. Surgical treatment indicated 2. Patient pregnant or likely to be pregnant 3. Patient who does not speak or understand French 4. Subject under guardianship or curatorship 5. Subject not beneficiary of a social security system.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quick Dash | day 60 | Auto questionnaire evaluating the disabilities of the arm, shoulder and hand |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| clamp force | day 0,15,30,60 and 90 | Clamp force deficit measured by a hydraulic hand dynamometer |
| Grip force | day 0,15,30,60 and 90 | Grip force deficit measured by a hydraulic hand dynamometer |
| TPM | day 0,15,30,60 and 90 | Total passive motion measured with a digital goniometer |
| TAM | day 0,15,30,60 and 90 | Total active motion measured with a digital goniometer |
Countries
France
Contacts
Primary ContactAdnan FOUFA, MD
Backup ContactCaroline TOURTE
Outcome results
None listed