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Radiological Criteria for Instability in Distal Radius Fractures

Recruitingn/aAges 18 Years - 65 YearsAllOslo University Hospital
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In plain words

What the trial is, and whether it could suit you

The study examines whether there are radiological criteria that can give an indication if a dorsally displaced distal radius fracture remains stable without the needs for surgery after closed reduction in patients between 18 and 65 years of age.

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion criterias: * 18-65 years old, living in Oslo/surroundings (available for follow-up) * AO class A2/3 or C1/C2 fractures * Dorsally displaced fracture of the distal radius (minimum VLDV more than100 or ulnar variance more than 2 mm compared to healthy side before reduction) with or without PSU fracture * Reduced to an acceptable position (VLDV 75-95 degrees, RIV more than 15 degrees, ulnar variance more than 2 mm, step/diastasis in the joint surface less than 2 mm) Exclution criterias: * Volar comminution (AO A3.3), step/diastasis more than 2 mm before reduction * Ad latus more than 2 cortex widths after reduction * Bilateral fractures * Open fractures * Previous wrist fracture in adulthood * Still open growth disc on X-ray * Antebrachium or carpal fracture * Ligament damage in the root of the hand or DRUJ * Lack of compliance (dementia, psychiatry/drug abuse, etc.) * Language problems * Rheumatoid arthritis or other systemic disease that can affect the result
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What it tests

  • X-ray (wrist)after 3 months and CT (wrist) the day after closed reduction
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Where

1 site
Oslo University Hospital, Aker, Oslo Skadelegevakt
Oslo, Norway
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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