Comparing Short-term Function and Pain After No Treatment or Splinting for Boxer's Fracture

NCT ID: NCT02547181

Last Updated: 2016-10-24

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2018-01-31

Brief Summary

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This Study is being done because the investigators would like to know if pain and hand function after having a boxer's fracture differs between being treated with supportive splinting or without splinting, but with behavioral modifications.

Detailed Description

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After initial treatment in the emergency department, patients with boxer's features are referred to the division of plastic and reconstructive surgery at Sunnybrook hospital. During initial consultation with the hand surgeon, treatment is chosen. Patients are follow-up with their hand surgeon at 4-, 8-, and 12--week intervals.

Supportive splinting: Patient's are given a removable plaster/fiberglass splint with a tensor bandage underneath.

Behavioral Modifications: Patients are not splinted, but provided a tensor bandage. Patients are instructed on specific behaviours to prevent movement of the injured part of the hand.

The purpose of the study is to compare pain and short-term hand function in patients who undergo supportive splinting compared to patients who undergo behavioral modifications treatment only to see which option is associated with shorter functional recovery and which option is associated with less pain during the first 4 weeks after initial treatment.

On follow-up appointments at 4, 8,and 12 weeks, as well as initial consultation with the hand surgeon, participants will be asked to perform a grip strength test with a Jamal Hydraulic hand Dynanometer. Participants will be asked to fill out a Brief Michigan Hand Questionnaire along with the grip strength test as well as quick demographics survey at initial consultation with the hand surgeon. After the 12-week follow up appointment, study participation will end.

If a patient is unable to follow-up with the hand surgeon, the Brief Michigan Hand Questionnaire will be done via phone whenever is most convenient for the patient. It's anticipated that about 40 people will participate in this study at a single centre in Toronto.

Conditions

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Metacarpal Fractures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Splint

Patients will be provided instructed to use a tensor bandage as well as specific behaviours to prevent movement of the injured part of the hand.

Group Type EXPERIMENTAL

Splint

Intervention Type BEHAVIORAL

fibreglass splint

Behavioral Modification

Patients are given a removable plaster/fiberglass splint with a tensor bandage underneath

Group Type EXPERIMENTAL

Behavioral Modification

Intervention Type BEHAVIORAL

Patient will be provided with tensor bandage and instructed on specific behaviors to prevent movement of the injured part of the hand.

Interventions

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Behavioral Modification

Patient will be provided with tensor bandage and instructed on specific behaviors to prevent movement of the injured part of the hand.

Intervention Type BEHAVIORAL

Splint

fibreglass splint

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of true boxer's fracture
* Candidate for either supportive splinting or tensor bandage
* Speaking, read and write English

Exclusion Criteria

* Prior surgical treatment for boxer's fractures or other hand conditions.
* Concurrent hand/wrist injury
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sunnybrook Health Sciences Centre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Catherine McMillan, MSc

Role: CONTACT

Facility Contacts

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Catherine McMillan, MSc

Role: primary

Other Identifiers

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341-2014

Identifier Type: -

Identifier Source: org_study_id

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