Clinical Trial: The Effect of Point-of-care Ultrasound Guidance for Distal Radius Fracture Reduction

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: The Effect of Point-of-care Ultrasound Guidance for Distal Radius Fracture Reduction

Brief Summary: Distal radius (Colle's) fractures in adult patients are commonly reduced in the emergency department before casting. Standard of care currently requires that x-rays be performed before and after fracture reduction, and inadequate reductions may be subject to repeat attempts and are at a higher risk to require surgery. This study will assess the use of point-of-care ultrasound (POCUS) in addition to standard care as a tool to decrease the angulation at the fracture site after a reduction is performed. If this angulation is decreased, it would suggest that POCUS for distal radius fracture reduction could decrease the number of failed reduction attempts and therefore the number of repeated reduction attempts.

Detailed Summary:
Sponsor: Marcus Van Aarsen

Current Primary Outcome: Residual dorsal angulation [ Time Frame: Collected at the same-day post-reduction xray. Data will be aggregated over 1 year ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

• Need for orthopaedic surgery within 6 weeks of injury [ Time Frame: To be assessed 6 weeks post-injury. Data will be aggregated over the 1 year study period ]
  To be acquired via electronic patient charting
• Physician satisfaction: post-reduction questionnaire [ Time Frame: Questionnaire to be administered immediately after reduction. Data to be aggregated during the 1 year study period ]

Original Secondary Outcome: Same as current

Information By: Western University, Canada

Dates:
Date Received: November 2, 2016
Date Started: January 10, 2017
Date Completion: December 2017
Last Updated: March 23, 2017
Last Verified: March 2017