Distal Radius Interventions for Fracture Treatment

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age4-10
SponsorAnn & Robert H Lurie Children's Hospital of Chicago

About this trial

This protocol describes a multicenter, prospective randomized superiority trial with a patient preference cohort comparing functional outcomes between children treated with sedated reduction versus no formal reduction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Provision of signed and dated informed consent form by parent or legal guardian

Stated willingness to comply with all study procedures and availability for the duration of the study

Male or female, aged 4-10 years

Diagnosis of 100% dorsally displaced radius metaphyseal fracture with any or no ulna involvement

Disqualifiers

Physeal involvement of fracture

Presence of open fracture, pathologic fracture, neuromuscular disease, or metabolic disease

Fractures other than the ulna near the same level in the ipsilateral arm

Fracture cannot be treated with acute reduction due to being older than 10 days

Trial design

Design model

Parallel

Treatments tested in this trial

  • Reduction

    Procedure/Surgery

    closed reduction under conscious sedation followed by casting

  • Immobilization

    Procedure/Surgery

    immobilization in cast without reduction

Treatment groups

334 Participants
are divided into 2 treatment groups
Group A: Non-sedated ImmobilizationExperimental treatment 1 intervention
Group B: Formal ReductionActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

PROMIS Pediatric CAT V2.0 - Physical Function- Upper Extremity

pediatric upper extremity function PROMIS computer adaptive test (PROMIS UE CAT)

Time frame
1 year follow-up

Secondary outcomes

1

PROMIS Pediatric CAT v2.0 - Physical Function- Upper Extremity

functional and patient reported outcomes

Time frame
6 weeks, 3 months, and 6 months
2

Disabilities of the Arm, Shoulder and Hand (DASH) S/PA

functional and patient reported outcomes

Time frame
6 weeks, 3 months, 6 months, and 1 year
3

PROMIS Pediatric V2.0 - Pain interference

functional and patient reported outcomes

Time frame
6 weeks, 3 months, and 1 year
4

Wong-Baker FACES Pain score

functional and patient reported outcomes

Time frame
6 weeks and 3 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ann & Robert H Lurie Children's Hospital of Chicago

Lead sponsor

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Collaborator