Therapy of Fifth Metacarpal Neck Fractures - Comparing Functional Treatment With Reposition and Finger Splinting

NCT ID: NCT06029374

Last Updated: 2025-06-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-01

Study Completion Date

2028-02-29

Brief Summary

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The purpose of this prospective randomized controlled clinical trial is to evaluate if functional treatment leads to a better functional outcome than a forearm cast and a finger splint in patients with fifth metacarpal neck fracture.

Detailed Description

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This study represents a prospective randomized clinical trial comparing two different conservative treatment options in patients with fifth metacarpal neck fracture.

Patients meeting the inclusion criteria will be enrolled in the present study provided they give their consent. Informed written consent will be obtained. Randomization will be performed according to the CONSORT Guidelines of Prospective Randomized Trials using the software "Randomizer" by the Medical University of Graz. Patients allocated to the control group will receive a forearm cast with a finger splint in terms of an immobilizing treatment, while patients in the study group will receive buddy taping for fingers IV and V and an elastic bandage in terms of a functional treatment. Both groups will receive the allocated bandage or splint for 4 weeks. The clinical outcome will be assessed 12 weeks after trauma.

Conditions

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Boxer's Fracture

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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Functional Treatment

Group Type ACTIVE_COMPARATOR

Functional Treatment

Intervention Type PROCEDURE

Patients receiving buddy taping for fingers IV and V and an elastic bandage in terms of a functional treatment. Duration of bandage treatment is determined with 4 weeks.

Forearm Cast and Finger Splint

Group Type ACTIVE_COMPARATOR

Forearm Cast and Finger Splint

Intervention Type PROCEDURE

Patients receiving reduction of fractured finger and subsequent customization of a forearm cast with a finger splint. Duration of cast treatment is determined with 4 weeks.

Interventions

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Functional Treatment

Patients receiving buddy taping for fingers IV and V and an elastic bandage in terms of a functional treatment. Duration of bandage treatment is determined with 4 weeks.

Intervention Type PROCEDURE

Forearm Cast and Finger Splint

Patients receiving reduction of fractured finger and subsequent customization of a forearm cast with a finger splint. Duration of cast treatment is determined with 4 weeks.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Fifth Metacarpal Neck Fractures
* Patient age between 18 and 70 years

Exclusion Criteria

* Palmar angulation \>50° in first lateral x-ray
* Pathologic fracture
* Intraarticular fracture
* Patients unable to consent
* Polytraumatized patients
* Pregnancy
* Compound fractures
* Multiple hand injuries
* Patients initially presenting more than 7 days after injury
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Paul L Hoppe

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gerhild Thalhammer, M.D.

Role: STUDY_DIRECTOR

Medical University of Vienna

Locations

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Medical University of Vienna - Department of Orthopedics and Trauma-Surgery

Vienna, , Austria

Site Status RECRUITING

Countries

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Austria

Central Contacts

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Paul L Hoppe, M.D.

Role: CONTACT

0043 1 40400 59160

Facility Contacts

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Paul Hoppe, M.D.

Role: primary

+4314040059160

Other Identifiers

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1529/2023

Identifier Type: -

Identifier Source: org_study_id

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