Evaluating radiological criteria for stability in wrist fractures
Official title: Radiological Criteria for Instability in Distal Radius Fractures
Run by Oslo University Hospital · NCT06617780 · Data updated 2026-11-12
This study tests if certain X-ray and CT scan results can help doctors decide if adults with wrist fractures need surgery after a closed reduction.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 212 (estimated) |
| Sponsor | Oslo University Hospital Academic / other |
| Locations | 1 site (Oslo, Oslo) |
| Status | Recruiting |
| Started | October 7, 2024 |
| Main results expected | October 7, 2026 |
| Study ends | April 2027 |
| Registry record updated | August 12, 2026 |
| Trial ID | NCT06617780 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 18 to 65 with specific types of dorsally displaced distal radius fractures.
✕Probably not a fit
Patients with volar comminution, open fractures, or significant prior wrist injuries may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study investigates the radiological criteria that can indicate whether a dorsally displaced distal radius fracture remains stable after closed reduction. It focuses on patients aged 18 to 65 years and aims to establish criteria that could help determine if surgical intervention is necessary. The study involves X-ray imaging after three months and CT scans the day after the closed reduction procedure to assess fracture stability. The goal is to improve treatment decisions and outcomes for patients with wrist fractures.
Why it matters
Potential benefit: If successful, this study could lead to more accurate assessments of fracture stability, potentially reducing unnecessary surgeries and improving patient outcomes.
How similar studies have gone: While there have been attempts to establish criteria for fracture stability, this study addresses a gap in standardization and could provide novel insights.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criterias: * 18-65 years old, living in Oslo/surroundings (available for follow-up) * AO class A2/3 or C1/C2 fractures * Dorsally displaced fracture of the distal radius (minimum VLDV more than100 or ulnar variance more than 2 mm compared to healthy side before reduction) with or without PSU fracture * Reduced to an acceptable position (VLDV 75-95 degrees, RIV more than 15 degrees, ulnar variance more than 2 mm, step/diastasis in the joint surface less than 2 mm) Exclution criterias: * Volar comminution (AO A3.3), step/diastasis more than 2 mm before reduction * Ad latus more than 2 cortex widths after reduction * Bilateral fractures * Open fractures * Previous wrist fracture in adulthood * Still open growth disc on X-ray * Antebrachium or carpal fracture * Ligament damage in the root of the hand or DRUJ * Lack of compliance (dementia, psychiatry/drug abuse, etc.) * Language problems * Rheumatoid arthritis or other systemic disease that can affect the result
Where it's running
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Oslo University Hospital, Aker, Oslo Skadelegevakt
Oslo, Oslo, Norway Recruiting
Study contacts
- Principal investigator: Lene B. Solberg, PhD MD — Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway
- Study coordinator: Lene B. Solberg, PhD MD
- Email: l.b.solberg@gmail.com
- Phone: +47 97669950
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Cannulated screws versus K-wires for fixing distal radius (wrist) fractures
This study will test whether cannulated screws or K-wires lead to better arm function and fewer complications in adults (18–60) with displaced extra-articular distal radius fractures.
-
Fu's subcutaneous needling with rehabilitation to help heal distal radius fractures after closed reduction
This trial will test whether adding Fu's subcutaneous needling to standard rehabilitation helps adults (18–85) heal distal radius fractures after closed reduction and splinting.
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This study is testing which type of splint, static progressive or dynamic, helps adults with wrist stiffness after a fracture feel better and move their wrist more easily.
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This study is testing whether using special machines to help with pain and swelling can improve recovery for people who have had wrist surgery for a broken bone.
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Comparing rehabilitation methods for wrist fractures in younger adults
This study is testing three different rehab methods for wrist fractures in younger adults to see which one helps them recover better.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.