joint degeneration Osteoarthritis
Conditions
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - Any diagnosis of overuse injury of the wrist, defined as a stress fracture or other stress reaction or soft tissue irritation, with no history of trauma, based on clinical assessment and/or imaging; - No history of overuse injury of the contralateral wrist, according to same criteria as above, based on patient history and patient records; - Active participation in a wrist-loading focus sport (gymnastics, tennis, judo, field hockey, volleyball, and rowing) or other sport that requires repetitive loading of the wrist at time of diagnosis of overuse wrist injury; - Age * 25 years at moment of diagnosis of overuse injury of the wrist; - No history of trauma or overuse injury of the contralateral wrist; - No surgical treatment of the overuse injury of the wrist; - No neurovascular disorders (e.g. Raynaud syndrome) or systemic diseases (e.g. diabetes mellitus, rheumatoid arthritis) affecting the musculoskeletal system; - No other trauma of the wrist after the diagnosed overuse injury of the wrist that now predominantly causes symptoms and/or limitations of the upper extremity; - No other conditions that cause symptoms or limitations of the upper extremity; - Not pregnant.
Exclusion criteria
Exclusion criteria: See inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of signs of degenerative disease of the previously injured wrist joint on conventional posterior-anterior, *, and lateral radiographs, assessed using the osteoarthritis score developed by Kellgren and Lawrence. | — |
Secondary
| Measure | Time frame |
|---|---|
| Multiple functional outcome measures will be used. Patient-rated outcome measures include: - Functioning of the upper extremities measured by the Dutch validated version of the Disability of the Arm, Shoulder and Hand (DASH) questionnaire; - Functioning of the hands and wrists measured by the Dutch validated version of the Patient-Rated Wrist and Hand Evaluation (PRWHE-DLV); - Functioning in relation to work, measured by the newly developed WORQ-UP questionnaire that is currently being validated, and by questions about work ability in relation to both wrists separately. Other outcome measures include: - Isometric hand grip strength of the hand on the previously injured side measured using a Jamar dynamometer compared to the non-injured side, and compared to normative population data; - Kellgren and Lawrence osteoarthritis score on conventional radiographs of the overuse-injured wrist at follow-up, compared to the Kellgren and Lawrence osteoarthritis score of the non-injured wrist at follow-up, both assessed by a specialized musculoskeletal radiologist and/or a musculoskeletal radiology resident; - Abnormalities and Kellgren and Lawrence osteoarthritis score on conventional radiographs of the affected wrist compared to wrist imaging at first hospital visit, assessed by a specialized musculoskeletal radiologist and/or a musculoskeletal radiology resident; - Demographic and anthropomorphic characteristics (e.g. age, length in centimetres, weight in kilograms) and training characteristics (e.g. starting age, level, training intensity in hours, training frequency in days, specialty elements) of participants. - Work characteristics (e.g. type of work, work hours, education) of participants. | — |
Countries
The Netherlands
Outcome results
None listed