Traumatic Ulnar Translocation of the Carpus

NCT ID: NCT01258166

Last Updated: 2012-02-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

10 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-01-31

Study Completion Date

2012-01-31

Brief Summary

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Ulnar translocation of the carpus is a form of wrist instability where the small bones of the wrist shift out of position. It is well recognized in patients with rheumatoid arthritis, but can also occur after a traumatic event, such as a violent football tackle or a fall from a height. The treatment options vary considerably, and there is no consensus of how to best address this injury pattern.

Because traumatic ulnar translocation is relatively rare, the diagnosis may be missed or delayed, causing problems for the patient such as persistent pain and loss of function. The investigators present 11 cases of this injury, discuss how to recognize it, and report our results after different treatment methods.

Detailed Description

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Ulnar translocation of the carpus is a form of wrist instability where the entire carpus translates medially along the inclined plane of the distal radius. This pattern of instability has been well recognized in patients with rheumatoid arthritis as a result of articular erosions and attenuation of wrist ligaments. In contrast, ulnar translocation of the carpus following trauma is seemingly rare, with published accounts limited to case reports and small case series.

The radiographic features of traumatic ulnocarpal translocation have been described and the instability pattern has been reproduced in cadaveric models. However, the recognition of radiocarpal malalignment may be unintentionally missed or delayed owing due to the uncommon nature of the this injury. The investigators present 11 cases of posttraumatic ulnar translocation of the carpus and review criteria for early recognition of the injury and the results following varying treatment methods.

Conditions

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Traumatic Ulnar Translocation of the Carpus

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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Tramuatic ulnar translocation

Patients who suffered a traumatic ulnar translocation following injury.

Surgery or immobilization

Intervention Type PROCEDURE

Interventions

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Surgery or immobilization

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Patient who suffered traumatic ulnar translocation of the carpus Willing to sign the consent

Exclusion Criteria

Patients with collagen vascular disease
Minimum Eligible Age

17 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Northwestern University

OTHER

Sponsor Role lead

Responsible Party

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John Berschback

Resident Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Chicago Center for Surgery of the Hand

Chicago, Illinois, United States

Site Status

Countries

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United States

References

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Rayhack JM, Linscheid RL, Dobyns JH, Smith JH. Posttraumatic ulnar translation of the carpus. J Hand Surg Am. 1987 Mar;12(2):180-9. doi: 10.1016/s0363-5023(87)80268-x.

Reference Type BACKGROUND
PMID: 3559067 (View on PubMed)

Wollstein R, Wei C, Bilonick RA, Gilula LA. The radiographic measurement of ulnar translation. J Hand Surg Eur Vol. 2009 Jun;34(3):384-7. doi: 10.1177/1753193408101465. Epub 2009 Mar 25.

Reference Type BACKGROUND
PMID: 19321529 (View on PubMed)

Yang Z, Mann FA, Gilula LA, Haerr C, Larsen CF. Scaphopisocapitate alignment: criterion to establish a neutral lateral view of the wrist. Radiology. 1997 Dec;205(3):865-9. doi: 10.1148/radiology.205.3.9393549.

Reference Type BACKGROUND
PMID: 9393549 (View on PubMed)

Bellinghausen HW, Gilula LA, Young LV, Weeks PM. Post-traumatic palmar carpal subluxation. Report of two cases. J Bone Joint Surg Am. 1983 Sep;65(7):998-1006.

Reference Type BACKGROUND
PMID: 6885879 (View on PubMed)

Mulier T, Reynders P, Broos P, Fabry G. Posttraumatic ulnar translation of the carpus. A case report. Acta Orthop Scand. 1992 Feb;63(1):102-3. doi: 10.3109/17453679209154862.

Reference Type BACKGROUND
PMID: 1738960 (View on PubMed)

McMurtry RY, Youm Y, Flatt AE, Gillespie TE. Kinematics of the wrist. II. Clinical applications. J Bone Joint Surg Am. 1978 Oct;60(7):955-61.

Reference Type RESULT
PMID: 701344 (View on PubMed)

Other Identifiers

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STU00023348

Identifier Type: -

Identifier Source: org_study_id

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