Mallet finger fracture
Conditions
Interventions
Patients will have to visit the hospital once to complete questionnaires, to have an X-ray of the fractured and non-fractured fingers, and for physical examination of these fingers.
Sponsors
Department of orthopaedic surgery, Reinier de Graaf Groep
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: - Able to speak, read and write in Dutch or English. - Diagnoses with a mallet finger fracture between 2001 and 2006. - At the moment of inclusion, it has been at least 10 years after the diagnosis of mallet finger fracture. - Patient is 18 years or older at the moment of inclusion.
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: - Unable to understand or answer the questionnaires, irrespective of the reason. - Unwilling to participate. - Unable to find primary X-rays in the archive. - Mallet finger fracture of the same digit of the other hand. - Mallet finger fracture in the same finger twice. To check exclusion criteria, such as untraceable x-rays or a fracture of the same finger more than once, all patients' charts will be reviewed. during the recruitment on the telephone the researcher will reassess all inclusion and exclusion criteria. During this conversation the researcher will try to find out whether a patient is able to answer and understand the questionnaires or not.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameters are: - The degree of OA in the fractured fingers and the same digit of the other hand. - The difference in degree of OA between the fractured and the non-fractured fingers. The degree of OA in the DIP-joints will be assessed using the standardised hand radiographs from the Osteoarthritis Research Society International (OARSI). Osteophytes and joint space narrowing (JSN) in the DIP-joints will be graded 0-3 points each, with total scores for the degree of OA ranging from 0 to 6. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary study parameters are: - DIP joint function measured with goniometer. The average ranges of motion for DIP joint: flexion 0-90° and hyperextension is 0-10° (active and passive movement). Examination of the same non-fractured digit of the other hand, will take place for comparison. - Pinch grip strength will be measured with a validated dynometer. Both sides will be compared. - Finger pain and function, measured through the PRWE, quick-DASH and MHOQ questionnaires, will be compared between groups. - Health status is measured through the SF-12. - The relation between OA and functional outcome. - Prevalence and degree of OA of the fractured and non-fractured fingers in our cohort. - Difference in degree of OA between patients who should have been operated under the current guidelines but were not operated and patients who should be operated and also received operative treatment at that time. | — |
Contacts
Public ContactN.M.C. Mathijssen
Reinier de Graafweg 3-11
Outcome results
None listed