Conservative Versus Operative Treatment of Displaced Neck Fractures of the Fifth Metacarpal (CONFraM)

Heinrich-Heine University, Duesseldorf

Status

Terminated

Conditions

Fifth Metacarpal Neck Fracture

Treatments

Procedure: conservative treatment

Procedure: antegrade intramedullary splinting

Study type

Interventional

Funder types

Other

Identifiers

NCT00704002

CONFraM

Details and patient eligibility

About

This is a prospective, randomized, multi-center pilot study of isolated, displaced neck fractures of the fifth metacarpal. The patients are randomly assigned to osteosynthesis with antegrade intramedullary splinting or conservative treatment.

Full description

The aim of this study is to provide criteria for treatment decisions in patients with isolated, displaced neck fractures of the fifth metacarpal. The primary outcome criterion is the functional status measured by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Secondary outcome criteria are pain, range of motion (ROM), grip strength, and radiological parameters.

Enrollment

9 patients

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

displaced neck fracture of the fifth metacarpal (at least 30° angulation)
isolated injury
age between 18 and 75 years
informed consent

Exclusion criteria

rotational displacement
open fracture
injury older than one week
treatment other than within this study
other relevant injuries of the upper extremities
other injury or disease of the hand
pregnancy
missing informed consent
incompliance
coagulopathy
allergy to metallic implants
Patients who have participated in any other device or drug clinical trial within the previous month