Use of Compression Glove to Prevent Complications After Distal Radius Fractures: a Randomized Controlled Trial
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Chronic Pain, Cardiology, Orthopedic, Psychiatric, Pain |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Musculoskeletal, Psychiatry / Psychology, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 85 |
| Updated: | 10/21/2017 |
| Start Date: | April 2010 |
| End Date: | December 2017 |
Distal radius fractures (DRF) are the most common type of fracture in the human body, and a
large proportion of DRFs result in complications. Previously proposed preventive strategies
have questionable efficacy and may impose additional risks on the patient. Because many
complications secondary to distal radius fractures are associated with excessive swelling, a
prophylactic means for edema reduction could dramatically reduce morbidity among this
population. A compression glove is a non-invasive, non-pharmacological way to reduce edema.
Previous studies have confirmed its utility in edema reduction after hand trauma and among
patients with chronic inflammatory conditions, but none have sufficiently investigated the
application to patients with distal radius fractures, a population in which this intervention
could have a large impact. The investigators propose a randomized controlled trial to
evaluate use of a compression glove during recovery among patients who have sustained an
unstable distal radius fracture. The investigators hypothesize that patients who wear a
compression glove after a distal radius fracture:
- Will experience less edema
- Will demonstrate greater functionality
- Will recover more quickly
- Will have lower incidence rates of carpal tunnel syndrome
- Will have lower incidence rates of complex regional pain syndrome
large proportion of DRFs result in complications. Previously proposed preventive strategies
have questionable efficacy and may impose additional risks on the patient. Because many
complications secondary to distal radius fractures are associated with excessive swelling, a
prophylactic means for edema reduction could dramatically reduce morbidity among this
population. A compression glove is a non-invasive, non-pharmacological way to reduce edema.
Previous studies have confirmed its utility in edema reduction after hand trauma and among
patients with chronic inflammatory conditions, but none have sufficiently investigated the
application to patients with distal radius fractures, a population in which this intervention
could have a large impact. The investigators propose a randomized controlled trial to
evaluate use of a compression glove during recovery among patients who have sustained an
unstable distal radius fracture. The investigators hypothesize that patients who wear a
compression glove after a distal radius fracture:
- Will experience less edema
- Will demonstrate greater functionality
- Will recover more quickly
- Will have lower incidence rates of carpal tunnel syndrome
- Will have lower incidence rates of complex regional pain syndrome
Inclusion Criteria:
- Male or female
- Between the ages of 18-85
- Patients with unstable unilateral distal radius fractures (requiring surgical
stabilization)
Exclusion Criteria:
- Pre-existing cases of carpal tunnel syndrome and/or complex regional pain syndrome
- Nerve or tendon laceration
- Decompression of carpal tunnel concomitant with surgical stabilization
- Additional fractures, including carpal fractures, more proximal fractures of the
radius, and finger injuries will be excluded from the study (Ulnar styloid and ulnar
head and neck fractures will be included)
- Uncontrolled rheumatoid arthritis patients
- Bilateral fractures
- Unable or unwilling to provide written informed consent.
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