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OpenTrials
Completed

NCT Number: NCT02962206

The Effect of Point-of-care Ultrasound Guidance for Distal Radius Fracture Reduction

Distal radius (Colle's) fractures in adult patients are commonly reduced in the emergency department before casting. Standard of care currently requires that x-rays be performed before and after fracture reduction, and inadequate reductions may be subject to repeat attempts and are at a higher risk to require surgery. This study will assess the use of point-of-care ultrasound (POCUS) in addition to standard care as a tool to decrease the angulation at the fracture site after a reduction is performed. If this angulation is decreased, it would suggest that POCUS for distal radius fracture reduction could decrease the number of failed reduction attempts and therefore the number of repeated reduction attempts.

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Key information

Conditions

Point-of-care Ultrasound, Distal Radius Fracture Arm Injuries Fractures, Bone Wounds and Injuries Wrist Fractures Wrist Injuries

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

London Health Sciences Centre, London, Ontario, Canada

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • radiographically confirmed distal radius fracture

Exclusion criteria

  • patients who do not consent
  • patients with multiple acute injuries, open fractures, or other local fractures evident (a simple ulnar styloid fracture will not be considered an exclusion criterion)
  • patients with neurovascular compromise
  • patients with bilateral distal radius fractures
  • patients with minimally displaced distal radius fractures that do not require closed reduction before casting

Treatment and study plan

Point-of-Care Ultrasound

Device

After the fracture reduction maneouver, the physician will assess residual dorsal angulation using point-of-care ultrasound. If deemed adequate, the physician will progress to immobilization. If the reduction is not adequate, the physician will attempt further reduction at their discretion.

Other names: POCUS

Closed fracture reduction

Procedure

The distal radius fracture will be reduced with using a combination of local anesthetic, sedation, reduction maneouvers and immobiliazation at the discretion of the treating physician

Primary outcomes

  1. Residual dorsal angulation

    Time frame: Collected at the same-day post-reduction xray. Data will be aggregated over 1 year

Secondary outcomes

  1. Need for orthopaedic surgery within 6 weeks of injury

    Time frame: To be assessed 6 weeks post-injury. Data will be aggregated over the 1 year study period

    To be acquired via electronic patient charting

  2. Physician satisfaction: post-reduction questionnaire

    Time frame: Questionnaire to be administered immediately after reduction. Data to be aggregated during the 1 year study period

Sponsors and collaborators

Lead sponsor

Marcus Van Aarsen

Other

Collaborators

  • London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Registry information

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Nov 11, 2016
Registry last updated
Jul 29, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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