NCT04357470

Manual Dexterity in Ulnar Styloid Fracture Patients

Completed NA Last updated 22 April 2020

What this trial tests

NA trial testing Hand Therapy in Ulnar Styloid Fracture in 125 participants. Completed in 20 March 2020.

Timeline

12 October 2016

Primary endpoint
14 September 2019

20 March 2020

Quick facts

Lead sponsor	Pamukkale University
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	non randomized
Design	parallel
Masking	none
Primary purpose	treatment
Enrollment	125
Start date	12 October 2016
Primary completion	14 September 2019
Estimated completion	20 March 2020

Drugs / interventions tested

• Hand Therapy

Conditions studied

• Ulnar Styloid Fracture — all drugs for Ulnar Styloid Fracture →
• Distal Radius Fracture — all drugs for Distal Radius Fracture →

Sponsor

Pamukkale University

Who can join

Adults 18 to 65, any sex, with Ulnar Styloid Fracture or Distal Radius Fracture. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Fracture of the distal radius (DRF) is a common musculoskeletal system injury. Fracture of the ulnar styloid frequently accompanies fractures of the distal radius and is seen in 50-65% of these cases. The loss of dexterity is common in many musculoskeletal conditions.

The aim of this study was to investigate whether an associated ulnar styloid fracture following a distal radius fracture has any effect on manual dexterity.

Patients who diagnosed with isolated DRF or DRF accompanied with ulnar styloid fracture and applied to hand rehabilitation unit were included in the study. The patients were divided into two groups according to the ulnar styloid fracture presence. USF Group was DRF with ulnar styloid fracture; NON-USF Group was DRF without ulnar styloid fracture.

Pain, range of motion, Quick-DASH, hand grip and pinch strength, Purdue Pegboard Test, Jebsen Taylor Hand Function Test was measured at six month.

A total of 125 patients, 68 female (54,4%) and 57 male (45,6%) were included in the study. The mean age of the patients was 47,15±13,41 (18-65) years. 65 of the patients (52%) had isolated fracture of the distal radius fracture (NON-USF group) and 60 patients (48%) had a concurrent ulnar styloid fracture (USF group).

There was no significant difference in pain between the groups (p\>0,05). Joints range of motion were higher in the NON-USF group than in the USF group. This difference was statistically significant only for flexion and extension (p\<0,05). There was no statistically significant difference in Quick-DASH score between groups (p\>0,05). The injured hand grip and pinch strength values in NON-USF group were greater than the USF group but the difference was not statistically significant (p\>0,05). The manual dexterity and hand function tests showed that there was no statistically significant difference between the groups at six months (p\>0,05).

There is a consensus that ulnar styloid fracture has no effect on overall hand function. But, there is no study dwelled on the manual dexterity. In this study, the effect of ulnar styloid fracture on hand function is more clearly emphasized. In conclusion, concomitant USF does not lead poorer manual dexterity.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Ulnar Styloid Fracture Accompanying Distal Radius Fracture Does Not Affect Hand Function, but What About Hand Dexterity?
   Usta H, Eraslan U, Sarıipek M, Kitis A. · · 2021 · PMID 34511830 · DOI 10.1055/s-0040-1721564