Treatment for Metacarpal Fractures

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
University of Missouri, Columbia, MO
Metacarpal Fractures+1 More
Eligibility
18+
All Sexes
What conditions do you have?
Select

Study Summary

This study is evaluating whether non-operative treatment of a metacarpal fracture is as effective as surgical treatment.

See full description

Eligible Conditions

  • Metacarpal Fractures

Treatment Effectiveness

Effectiveness Progress

1 of 3

Other trials for Metacarpal Fractures

Study Objectives

This trial is evaluating whether Treatment will improve 8 primary outcomes in patients with Metacarpal Fractures. Measurement will happen over the course of 6 months.

6 months
Adverse events
Disabilities of the Arm, Shoulder and Hand (DASH)
Extension lag
Finger Range of Motion
Grip Strength
PROMIS score
Time to union
Vas Pain Score

Trial Safety

Safety Progress

1 of 3

Other trials for Metacarpal Fractures

Trial Design

2 Treatment Groups

Surgical
1 of 2
Non-operatively
1 of 2
Active Control

This trial requires 100 total participants across 2 different treatment groups

This trial involves 2 different treatments. Treatment is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Surgical
Other
Adults 18 and older Native English-speaker Non-thumb isolated single metacarpal shaft closed fracture (both scissoring and non-scissoring injuries)
Non-operatively
Procedure
Adults 18 and older Native English-speaker Non-thumb isolated single metacarpal shaft closed fracture (both scissoring and non-scissoring injuries)

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 6 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 6 months for reporting.

Who is running the study

Principal Investigator
J. T. B.
Prof. Jay T. Bridgeman, MD
University of Missouri-Columbia

Closest Location

University of Missouri - Columbia, MO

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Adults 18 and older
Native English-speaker
Non-thumb isolated single metacarpal shaft closed fracture

Patient Q&A Section

What are the signs of fractures, bone?

"Fractures can occur at any age, irrespective of age at onset, with or without pain, and may be accompanied by other signs. Symptoms of fractures and the likelihood and location of fractures can help lead to the appropriate diagnosis." - Anonymous Online Contributor

Unverified Answer

How many people get fractures, bone a year in the United States?

"Each year in the United States, around 6.9 million people have a hip or back fracture, and 4.1 million people have a broken wrist or ankle. This is an age-adjusted estimate. Younger people are most certainly more likely to get fractures, bone; older people are less likely to get fractures. Most people do not get a fracture, bone every year in the United States. However, if this estimate is taken out of context and compared with estimates published 10years ago, the rate at which the elderly do not receive a fracture, bone every year in the Unites States seems quite high. Findings from a recent study are not consistent with those currently being made about the frequency of hip fractures and the quality of care for them." - Anonymous Online Contributor

Unverified Answer

What is fractures, bone?

"Fracture of bone is a very common complication. It occurs in about 1 in 1000 patients within the first week following surgery. The usual causes are trauma and postoperative infections. It also occurs after long term use of certain medicines, such as aspirin which is frequently associated with falls. Fractures of long bones usually heal well, but fractures of the skull or face may heal slowly or incompletely. Fractures of the long bones usually heal without specific treatment, but some fractures can be treated by casting or surgery. Fractures of the skull or face can also heal slowly or incompletely. Treatments that may be helpful are a reduction in stress and maintaining good general health. Fractures of the foot can heal without surgery or casting." - Anonymous Online Contributor

Unverified Answer

What causes fractures, bone?

"Fractures, bone occurs, in most cases, due to trauma that affects the physical properties of bones and bones themselves, with the strongest factor being age. Although trauma may be the most important issue, other causes of fractures have to be considered also, notably hormonal or hereditary osteoporosis." - Anonymous Online Contributor

Unverified Answer

Can fractures, bone be cured?

"Fractures, especially those with low bone mineral density, would have to be healed before treatment. This may be the key to fracture prevention. Moreover, all bones need a specific treatment to prevent fracture." - Anonymous Online Contributor

Unverified Answer

What are common treatments for fractures, bone?

"Fracture repair and rehabilitation are commonly used by surgeons and physical therapists. Exercise is widely used by individuals, and can be used to increase the strength and endurance of the patient." - Anonymous Online Contributor

Unverified Answer

Is treatment typically used in combination with any other treatments?

"Ossifying fibrous dysplasia is treated by a variety of methods in the US, but few reports have been published on the most common treatments. Treatment may include surgery, orthopaedic surgery, physiotherapy, orthothetics, bracing, and bone grafting. Patient preference, social, economic, and religious constraints will affect treatment choice." - Anonymous Online Contributor

Unverified Answer

What is treatment?

"The treatment was the main factor affecting outcome and was influenced by the disease and the injury at admission. An early and accurate diagnosis of pelvic fractures is mandatory in order to initiate early treatment with a quick, painless, and simple procedure, which may be a simple splint or plaster cast of the injured area. An accurate diagnosis and an effective treatment with analgesics are of immense value for the prognosis of pelvic fractures. In case of severe haemorrhage, surgery is justified to control the bleeding and to ensure immediate rehabilitation." - Anonymous Online Contributor

Unverified Answer

Does treatment improve quality of life for those with fractures, bone?

"When assessing QOL, it is important to consider both the patient's preference and the clinician's. The clinician may not be a good proxy when the focus is on the patient's preferred treatment. Thus it is vital to consider both patient and clinician preferences when interpreting scores on the ODIQ." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of treatment?

"Overall, treatment of patients with bisphosphonates and astragalus milk had higher satisfaction than that of other treatments, and patients treated with astragalus milk were more likely to feel that their treatment helped reduce the chances of complications at the treatment site." - Anonymous Online Contributor

Unverified Answer

Is treatment safe for people?

"We found that in this group of patients (older men with osteoporosis, a history of hip fracture and no prior fracture [HbA 1c > 7.0%, PTH > 7.0 pg/mL, 25-hydroxyvitamin D < 1 ng/mL], and no recent fall) no additional complications were observed with treatment as opposed to placebo." - Anonymous Online Contributor

Unverified Answer

What does treatment usually treat?

"Most people in the United States will receive at least one healthcare service during a 12-month period, with no variation in the frequency of treatment services received among people with various types of health conditions. In comparison with the general population, patients with fracture had a relatively higher rate of being prescribed multiple medications. Results from a recent clinical trial highlights the need for better understanding of people's expectations, needs, and experiences regarding treatment." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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