Radiological Criteria for Instability in Distal Radius Fractures

What this Trial Is About

Researchers are evaluating radiological criteria to determine if dorsally displaced distal radius fractures in adults aged 18 to 65 remain stable without surgery after closed reduction. This study addresses the need to identify fractures that maintain proper positioning in a cast to avoid unnecessary operations, which can cause complications and stress. It aims to refine current guidelines by focusing on specific fracture types and characteristics, especially considering factors like volar hook and dorsal comminution. Participants with dorsally displaced distal radius fractures that are reduced to an acceptable position will undergo routine closed reduction using traction methods by experienced doctors. The study includes X-rays before and after reduction, a CT scan the day after reduction, and follow-up imaging at 6-8 days, 3 weeks, 5 weeks, and 3 months to monitor fracture stability. Patients between 50 and 65 years old will be evaluated for osteoporosis or osteopenia to assess how bone health affects fracture stability. During the study, participants will have imaging exams including X-rays and CT scans to measure fracture alignment and healing. Experienced doctors will review the images to decide if the fracture remains stable or requires surgery. Researchers will track complications such as complex regional pain syndrome and malunion. The main outcome is the radiological status of the fracture three months after injury, with additional assessments shortly after reduction and one year later for bone health effects. The study is planned to enroll about 212 patients over two years at a hospital outpatient clinic.

Radiological Criteria for Instability in Distal Radius Fractures