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Traumatic Ulnar Translocation of the CarpusNCT01258166

Traumatic Ulnar Translocation of the Carpus

An observational study of Traumatic Ulnar Translocation of the Carpus, run by Northwestern University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Ulnar translocation of the carpus is a form of wrist instability where the small bones of the wrist shift out of position. It is well recognized in patients with rheumatoid arthritis, but can also occur after a traumatic event, such as a violent football tackle or a fall from a height. Read more about this study

Who is it for?
Ages 17 to 80 years
What is being tested?
Surgery or immobilization
Type of treatment
Surgery or procedure
How many people
10 participants
Where
1 siteUnited States
Study dates
Jan 2005to Jan 2012
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 17 to 80 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients who suffered traumatic ulnar translocation of the carpus

Who may be able to join

  • Patient who suffered traumatic ulnar translocation of the carpus Willing to sign the consent

Who cannot join

  • Patients with collagen vascular disease

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Chicago Center for Surgery of the Hand

    Chicago, Illinois, 60611

Other trials in United States

About this study

Official title: Traumatic Ulnar Translocation of the Carpus: Early Diagnosis and Treatment

Ulnar translocation of the carpus is a form of wrist instability where the small bones of the wrist shift out of position. It is well recognized in patients with rheumatoid arthritis, but can also occur after a traumatic event, such as a violent football tackle or a fall from a height. The treatment options vary considerably, and there is no consensus of how to best address this injury pattern.

Because traumatic ulnar translocation is relatively rare, the diagnosis may be missed or delayed, causing problems for the patient such as persistent pain and loss of function. The investigators present 11 cases of this injury, discuss how to recognize it, and report our results after different treatment methods.

Read the detailed description

Ulnar translocation of the carpus is a form of wrist instability where the entire carpus translates medially along the inclined plane of the distal radius. This pattern of instability has been well recognized in patients with rheumatoid arthritis as a result of articular erosions and attenuation of wrist ligaments. In contrast, ulnar translocation of the carpus following trauma is seemingly rare, with published accounts limited to case reports and small case series.

The radiographic features of traumatic ulnocarpal translocation have been described and the instability pattern has been reproduced in cadaveric models. However, the recognition of radiocarpal malalignment may be unintentionally missed or delayed owing due to the uncommon nature of the this injury. The investigators present 11 cases of posttraumatic ulnar translocation of the carpus and review criteria for early recognition of the injury and the results following varying treatment methods.

Being tested
Surgery or immobilization

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Surgery or immobilizationProcedure or surgery

Study groups in NCT01258166
Study groupRoleWhat they receive
Tramuatic ulnar translocationPatients who suffered a traumatic ulnar translocation following injury.
Receives: Procedure: Surgery or immobilization

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Dec 2010 (estimated)
  2. Study startJan 2005
  3. Primary completionJan 2012
  4. Study completionJan 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Retrospective
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01258166
Sponsor's protocol ID
STU00023348
Status last verified
Feb 2012
First submitted
9 Dec 2010
Last updated
3 Feb 2012
Results posted
No

Publications

  • Rayhack JM, Linscheid RL, Dobyns JH, Smith JH. Posttraumatic ulnar translation of the carpus. J Hand Surg Am. 1987 Mar;12(2):180-9. doi: 10.1016/s0363-5023(87)80268-x.

    PubMed 3559067
  • Wollstein R, Wei C, Bilonick RA, Gilula LA. The radiographic measurement of ulnar translation. J Hand Surg Eur Vol. 2009 Jun;34(3):384-7. doi: 10.1177/1753193408101465. Epub 2009 Mar 25.

    PubMed 19321529
  • Yang Z, Mann FA, Gilula LA, Haerr C, Larsen CF. Scaphopisocapitate alignment: criterion to establish a neutral lateral view of the wrist. Radiology. 1997 Dec;205(3):865-9. doi: 10.1148/radiology.205.3.9393549.

    PubMed 9393549
  • Bellinghausen HW, Gilula LA, Young LV, Weeks PM. Post-traumatic palmar carpal subluxation. Report of two cases. J Bone Joint Surg Am. 1983 Sep;65(7):998-1006.

    PubMed 6885879
  • Mulier T, Reynders P, Broos P, Fabry G. Posttraumatic ulnar translation of the carpus. A case report. Acta Orthop Scand. 1992 Feb;63(1):102-3. doi: 10.3109/17453679209154862.

    PubMed 1738960
  • McMurtry RY, Youm Y, Flatt AE, Gillespie TE. Kinematics of the wrist. II. Clinical applications. J Bone Joint Surg Am. 1978 Oct;60(7):955-61.

    PubMed 701344

Questions about this trial

What is this clinical trial studying?

An observational study of Traumatic Ulnar Translocation of the Carpus, run by Northwestern University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Feb 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01258166, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Feb 2012; AzTrials last refreshed its copy on 2 Nov 2026.

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