Fracture Forearm, Radius Distal Fracture
Conditions
Brief summary
Post-intervention outcomes comparing casting in distal radius fractures of four weeks versus six weeks.
Detailed description
Cast immobilization for 6 weeks remains the mainstay of therapy for distal radius fractures. To challenge the therapeutic time frame, participants will be randomized into two arms, and the treatment arm will undergo immobilization for 4 weeks. Outcomes will be assessed at cast removal and then at 3 and 6 months prospectively using the Quick-DASH score and the DASH score (only at 6 months).
Interventions
PROCEDUREShort Arm Cast for Distal Radius Fracture for four weeks
Scotch cast immobilization below elbow for four weeks
PROCEDUREShort Arm Cast for Distal Radius Fracture for six weeks
Scotch cast immobilization below elbow for six weeks
Sponsors
Liaquat National Hospital & Medical College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients with DRF undergoing conservative management with cast immobilization * Age between 18 to 50 years.
Exclusion criteria
* Any syndromic patients * Any patients with musculoskeletal disease * Patients having osteoporosis * Post-menopausal females * Smokers * Ages less than 18 or greater than 50 * Patients presenting with intra-articular fractures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quick Disability of Arm, Shoulder, and Hand Score (Quick DASH) | Four weeks (Cast Removal) | Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability. |
| Quick Disability of Arm, Shoulder, and Hand (Quick DASH) | Six weeks (Cast Removal) | Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability. |
| Disability of Arm, Shoulder, and Hand Score | 6 months post-removal of cast immobilizations | The Disability of Arm, Shoulder, and Hand Score (DASH) is a 30-item questionnaire with scores ranging from 1 to 5 for each item. The final scores are formulated from 0 to 100, where a higher score indicates greater disability and a lower score indicates little to no disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Radial Deviation | 6 months post-cast immobilization removal | Radial deviation ranges from 15-25°. More deviation suggests more joint movement and is associated with better outcomes. |
| Palmar Flexion | 6 months post-cast immobilization removal. | Palmar flexion ranges from 70-90 °. More flexion suggests more joint movement and is associated with better outcomes. |
| Ulnar Deviation | 6 months post-cast immobilization removal. | Ulnar deviation ranges from 30-45 °. More deviation suggests more joint movement and is associated with better outcomes. |
| Dorsiflexion | 6 months post-cast immobilization removal. | Dorsiflexion ranges from 8-26 °. More flexion suggests more joint movement and is associated with better outcomes. |
Countries
Pakistan
Outcome results
None listed