No registrations found.
ID
Source
Health condition
posttraumatic osteoarthritis
perilunate dislocation/fracture
outcome
Sponsors and support
C.M.Lameijer
C.K. van der Sluis
Intervention
Outcome measures
Primary outcome
The prevalence of posttraumatic osteoarthritis.
Secondary outcome
Patient reported functional outcomes objectified with the PRWE, DASH, SF-36 and MHQ.
Objective outcomes: X-rays, range of motion, grip strength.
Background summary
The development of posttraumatic osteoarthritis (PA) following perilunate dislocations and perilunate fracture dislocations (PLD-PLFDs) has been described. Direct and indirect joint impact loading, soft tissue injuries, joint dislocation and intra-articular fractures, increase the risk of progressive joint degeneration that cause PA. It is though posttraumatic osteoarthritis develops less in younger patients. However, it might be more invalidating for a young non-osteoporotic patient to develop posttraumatic osteoarthritis and loss of function following PLD-PLFD than for an older patient. The extent of the loss of function can be objectified using functional measures, such as range of motion and grip strength. Subjective measures to objectify loss of function as experienced by the patient can be performed using validated questionnaires. In this study, the prevalence of posttraumatic osteoarthritis following a PLD-PLFD in young patients is determined. Also, the question arises what the correlation between objective and subjective outcome measures is following a PLD-PLFD in young patients.
Study objective
To determine the prevalence of posttraumatic osteoarthritis following a PLD-PLFDs in a cohort of young non-osteoporotic patients and correlation with objective and subjective outcome measures.
Study design
Observational study, there will be various timepoints.
Intervention
No intervention.
Questionnaires: PRWE, DASH, SF-36 and MHQ.
X-rays of both hands. Range of motion test and grip strength test by a certified handphysician
Hanzeplein 1
C.M. Lameijer
Groningen 9713 GZ
The Netherlands
+31628425094
C.M.Lameijer@umcg.nl
Hanzeplein 1
C.M. Lameijer
Groningen 9713 GZ
The Netherlands
+31628425094
C.M.Lameijer@umcg.nl
Inclusion criteria
All patients treated in the period 1996 until 2014 in the University Medical Center Groningen for a PLD-PLFD
- Men between the ages of 18 - 50 years and women between the ages of 18 - 40 years at the time of injury (no clinical osteoarthritis according to current available information in the literature)
- Written informed consent
- Mentally competent
Exclusion criteria
Preexistent osteoarthritis of the hand or preexistent declined function of the hand or wrist according to the patient
- ASA III-V patients or other contra-indications for surgical treatment at the time of injury. These patients are not able to receive the most optimal treatment and thus altered outcome measures can be expected
- No permanent residency (in the Netherlands)
- Co-morbidity that may influence the outcomes, such as neurological of rheumatic disorders influencing arm function.
- Insufficient control of the Dutch language.
- No informed consent
- Osteoporosis known from medical history
- Pregnant women
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL5316 |
| NTR-old | NTR5425 |
| CCMO | NL52111.042.15 |
| OMON | NL-OMON44129 |