avulsion fracture foot
Conditions
Interventions
n.a.
Sponsors
Isala
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - Aged between 18 and 50 years at the time of the study entry - Presenting to ED within 48 hours after supination trauma of the ankle, with swelling and/or tenderness on the dorsolateral side of the foot. - Radiographically confirmed cuboid/navicular avulsion fracture, or suspected ligamentous injury based on trauma mechanism and clinical examination. - Competent to understand the study and participate in follow ups consisting of completing Dutch questionnaires.
Exclusion criteria
Exclusion criteria: - A significant fracture identified on standard radiographs that, according to the current guidelines, requires urgent (surgical) treatment. - A history of previous injuries or conditions affecting the same foot (e.g. prior fractures, osteoarthritis, repetitive ankle strains). - A history of systemic chronic joint-related diseases (e.g. rheumatoid arthritis) or active gout. - Any neurological or musculoskeletal disorders affecting gait or balance (e.g. peripheral neuropathy, multiple sclerosis). - Current use of medications that may impair healing (e.g. corticosteroids, immunosuppresants). - Active infection or open wounds in the affected foot or ankle. - Prior surgical intervention on the affected foot or ankle. - Patients with contraindications for MRI (e.g. metallic implants, pacemaker). - Participation in another clinical trial that could interfere with the outcomes of this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter in this study is the identification of additional ligament injuries using MRI. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters include the extent of these additional ligament injuries, assessed in terms of quantity and severity, as well as the presence of other soft tissue injuries and factors influencing the functional outcomes of patients. | — |
Countries
Netherlands
Contacts
Public ContactI Christofides
Isala
Outcome results
None listed