Conservative or Operative Treatment of Fractures in the Neck of the 5th Metacarpal Bone (MC-studien)

University of Oslo (UIO)

Status: Completed

Conditions: Fractures of the Neck

Treatments: Procedure: Bouquet pinning of the 5th metacarpal bone

Study type: Interventional

Funder types: Other

Identifiers

NCT01139528

FASUUS 1529

Details and patient eligibility

About

A multi-site randomized controlled trial where patients are allocated to operative treatment or conservative treatment of fractures of the neck of the 5th metacarpal bone. The study goal is to identify which degree of angular displacement in the fracture that requires operative intervention.

Enrollment: 85 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients over 18 years of age with fractures of the neck of the 5th metacarpal bone

Exclusion criteria

• Less than 30 degrees of volar angulation in the fracture
• rotational deformity
• pseudoclawing
• intra-articular involvement
• ad latus displacement more than one half of a bone width
• concomitant fractures or soft tissue damage
• admittance more than 14 days after injury
• non-compliant patient (language, drugs, tourist)
• patient who refuses to participate in the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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85 participants in 2 patient groups

Operative treatment

Active Comparator group

Description:

Closed reduction of the fracture and osteosynthesis with 2-3 intramedullary K-wires (Bouquet method), cast treatment for 7-10 days followed by 5 weeks of buddy-strapping before removal of the K-pins

Treatment:

Procedure: Bouquet pinning of the 5th metacarpal bone

Conservative treatment

No Intervention group

Description:

No attempt of reduction of the fracture, 7-10 days of cast treatment followed by 5 weeks of buddy-strapping