Supracondylar Humerus FracturesNCT07480798
Rock-Paper-Scissors-OK in Nerve Examination
A study testing Conventional Neurological Examination and Preoperative video-based training module in people with Supracondylar Humerus Fractures and Nerve Examination, run by Ankara City Hospital Bilkent at 1 site in Turkey (Türkiye).
Trial summary
Patients presenting to the Orthopedics and Traumatology Clinic of Ankara Bilkent City Hospital with supracondylar humerus (elbow) fractures will initially undergo closed reduction. Following the reduction procedure, radiographic imaging will be obtained and patients will be re-evaluated. Read more about this study
- Who is it for?
- Ages 4 to 10 years
- Conditions the study is for
- Supracondylar Humerus Fractures, Nerve Examination
- What is being tested?
- Conventional Neurological Examination and Preoperative video-based training module
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 102 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 13 Mar 2024to 22 May 2025
- Phase
- Interventional
- 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 4 to 10 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Children aged 4 to 10 years
- Underwent surgical treatment for supracondylar humerus fracture
- Willing to participate (assent/parental consent as applicable)
Who cannot join
- Cognitive inability to understand or perform the rock-paper-scissors-OK movements
- Declined participation (patient and/or parent/guardian refusal, as applicable)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Rock-Paper-Scissors-OK Game for Neurological Examination in Pediatric Supracondylar Humerus Fractures: A Prospective Randomized Controlled Trial
Patients presenting to the Orthopedics and Traumatology Clinic of Ankara Bilkent City Hospital with supracondylar humerus (elbow) fractures will initially undergo closed reduction. Following the reduction procedure, radiographic imaging will be obtained and patients will be re-evaluated. If surgical intervention is deemed necessary based on this assessment, operative treatment will be recommended.
The surgical technique will consist of closed reduction followed by percutaneous Kirschner wire (K-wire) fixation. In cases where adequate fracture reduction cannot be achieved by closed means, open reduction will be performed through an anterior incision. In these patients, K-wires will again be inserted percutaneously.
Read more
Fixation will be achieved using one medial (ulnar side) and two lateral K-wires. Postoperatively, a neurological examination will be performed. In patients who are shown a video and taught the game beforehand, neurological assessment will be conducted using the "rock-paper-scissors" game. In other patients, the examination will be performed by demonstrating and requesting specific hand movements.
If ulnar nerve deficit is detected during postoperative neurological evaluation, the medial K-wire will be removed. The time interval between the patient's emergence from anesthesia and the neurological examination will be recorded.
- Conditions
- Supracondylar Humerus Fractures, Nerve Examination
- Being tested
- Conventional Neurological Examination, Preoperative video-based training module
- Keywords
- Supracondylar humerus fracture, Nerve examination, Rock-Paper-Scissors-Ok
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional Neurological ExaminationOther
Standard neurological examination performed by the clinician using conventional bedside assessment.
Preoperative video-based training moduleOther
Participants in the smartphone-assisted group viewed a single standardized preoperative video-based training module delivered via YouTube (duration: 2 minutes 34 seconds).
| Study group | Role | What they receive |
|---|---|---|
| Smartphone-Assisted Neurological Examination | Other | Participants undergo neurological examination using a smartphone-assisted application (preoperatively and postoperatively). Examination duration and patient satisfaction are recorded. Receives: Other: Preoperative video-based training module |
| Conventional Neurological Examination | Other | Participants undergo neurological examination using conventional bedside clinical assessment methods (preoperatively and postoperatively). Examination duration and patient satisfaction are recorded. Receives: Other: Conventional Neurological Examination |
What is being measured
The primary outcome is the main question the study is designed to answer.
Postoperative neurological examination duration (minutes)
Time required to complete the neurological examination postoperatively, recorded in minutes.
Measured: Immediately postoperatively after awakening in the recovery room
Secondary outcomes (4)
Preoperative neurological deficit (yes/no)
Presence of neurological deficit on examination (radial, ulnar, median, and anterior interosseous nerve function). Recorded as yes/no (frequency, %).
Measured: Preoperatively in the emergency department (before surgery)
Preoperative neurological examination duration (minutes)
Time required to complete the neurological examination preoperatively, recorded in minutes.
Measured: Preoperatively in the emergency department (before surgery)
Patient/parent satisfaction: Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS)
Satisfaction was measured with the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS). Domain scores were calculated as mean values on a 1-4 Likert scale (min=1, max=4); higher scores indicate better satisfaction/better care experience.
Measured: On the day the patients is discharged after surgery (typically the 2nd or 3rd day after the operation)
Postoperative neurological deficit (yes/no)
Presence of neurological deficit on examination (radial, ulnar, median, and anterior interosseous nerve function). Recorded as yes/no (frequency, %).
Measured: Immediately postoperatively after awakening in the recovery room
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Mar 2026
- Study start13 Mar 2024
- Primary completion18 Apr 2025
- Study completion22 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Supracondylar Humerus FracturesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 102 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ankara City Hospital Bilkent
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07480798
- Sponsor's protocol ID
- TABED 1-24-83; 13 March 2024
- Status last verified
- Mar 2026
- First submitted
- 4 Mar 2026
- Last updated
- 30 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Spinner M. The anterior interosseous-nerve syndrome, with special attention to its variations. J Bone Joint Surg Am. 1970 Jan;52(1):84-94. No abstract available.
PubMed 5411776Davidson AW. Rock-paper-scissors. Injury. 2003 Jan;34(1):61-3. doi: 10.1016/s0020-1383(02)00102-x.
PubMed 12531378Toomey SL, Zaslavsky AM, Elliott MN, Gallagher PM, Fowler FJ Jr, Klein DJ, Shulman S, Ratner J, McGovern C, LeBlanc JL, Schuster MA. The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS. Pediatrics. 2015 Aug;136(2):360-9. doi: 10.1542/peds.2015-0966. Epub 2015 Jul 20.
PubMed 26195542Aydin T, Inci F, Kilic M, Yigit N, Kahve Y, Ceyhan E. Rock-paper-scissors-OK game for neurological examination in pediatric supracondylar humerus fractures: A prospective randomized controlled trial. J Child Orthop. 2026 Jul 10:18632521261466900. doi: 10.1177/18632521261466900. Online ahead of print.
PubMed 42438747
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Rock-Paper-Scissors-OK Game for Neurological Examination in Pediatric Supracondylar Humerus Fractures: A Prospective Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07480798
- Acronym / sponsor ID
- TABED 1-24-83; 13 March 2024
- Conditions
- Supracondylar Humerus Fractures, Nerve Examination
- Keywords
- Supracondylar humerus fracture, Nerve examination, Rock-Paper-Scissors-Ok
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 102 participants (actual)
- Lead sponsor
- Ankara City Hospital BilkentUniversity, hospital or other
- Study start
- 13 Mar 2024 (actual)
- Primary completion
- 18 Apr 2025 (actual)
- Study completion
- 22 May 2025 (actual)
- First posted
- 18 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients presenting to the Orthopedics and Traumatology Clinic of Ankara Bilkent City Hospital with supracondylar humerus (elbow) fractures will initially undergo closed reduction. Following the reduction procedure, radiographic imaging will be obtained and patients will be re-evaluated. If surgical intervention is deemed necessary based on this assessment, operative treatment will be recommended.
The surgical technique will consist of closed reduction followed by percutaneous Kirschner wire (K-wire) fixation. In cases where adequate fracture reduction cannot be achieved by closed means, open reduction will be performed through an anterior incision. In these patients, K-wires will again be inserted percutaneously.
Fixation will be achieved using one medial (ulnar side) and two lateral K-wires. Postoperatively, a neurological examination will be performed. In patients who are shown a video and taught the game beforehand, neurological assessment will be conducted using the "rock-paper-scissors" game. In other patients, the examination will be performed by demonstrating and requesting specific hand movements.
If ulnar nerve deficit is detected during postoperative neurological evaluation, the medial K-wire will be removed. The time interval between the patient's emergence from anesthesia and the neurological examination will be recorded.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Smartphone-Assisted Neurological Examination | Other | Other: Preoperative video-based training moduleParticipants undergo neurological examination using a smartphone-assisted application (preoperatively and postoperatively). Examination duration and patient satisfaction are recorded. |
| Conventional Neurological Examination | Other | Other: Conventional Neurological ExaminationParticipants undergo neurological examination using conventional bedside clinical assessment methods (preoperatively and postoperatively). Examination duration and patient satisfaction are recorded. |
Who may qualify
- Ages
- 4 to 10 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- Children aged 4 to 10 years
- Underwent surgical treatment for supracondylar humerus fracture
- Willing to participate (assent/parental consent as applicable)
Key exclusion criteria (2 listed)
- Cognitive inability to understand or perform the rock-paper-scissors-OK movements
- Declined participation (patient and/or parent/guardian refusal, as applicable)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Conventional Neurological ExaminationStandard neurological examination performed by the clinician using conventional bedside assessment. | Other | Conventional Neurological Examination |
| Preoperative video-based training moduleParticipants in the smartphone-assisted group viewed a single standardized preoperative video-based training module delivered via YouTube (duration: 2 minutes 34 seconds). | Other | Smartphone-Assisted Neurological Examination |
Primary outcome
Postoperative neurological examination duration (minutes)
Time frame: Immediately postoperatively after awakening in the recovery room
Time required to complete the neurological examination postoperatively, recorded in minutes.
4 secondary outcomes
Preoperative neurological deficit (yes/no)
Time frame: Preoperatively in the emergency department (before surgery)
Preoperative neurological examination duration (minutes)
Time frame: Preoperatively in the emergency department (before surgery)
Patient/parent satisfaction: Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS)
Time frame: On the day the patients is discharged after surgery (typically the 2nd or 3rd day after the operation)
Postoperative neurological deficit (yes/no)
Time frame: Immediately postoperatively after awakening in the recovery room
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Mar 2026.
- Background: PubMed 5411776Spinner M. The anterior interosseous-nerve syndrome, with special attention to its variations. J Bone Joint Surg Am. 1970 Jan;52(1):84-94. No abstract available.
- Background: PubMed 12531378Davidson AW. Rock-paper-scissors. Injury. 2003 Jan;34(1):61-3. doi: 10.1016/s0020-1383(02)00102-x.
- Background: PubMed 26195542Toomey SL, Zaslavsky AM, Elliott MN, Gallagher PM, Fowler FJ Jr, Klein DJ, Shulman S, Ratner J, McGovern C, LeBlanc JL, Schuster MA. The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS. Pediatrics. 2015 Aug;136(2):360-9. doi: 10.1542/peds.2015-0966. Epub 2015 Jul 20.
- Derived from this study: PubMed 42438747Aydin T, Inci F, Kilic M, Yigit N, Kahve Y, Ceyhan E. Rock-paper-scissors-OK game for neurological examination in pediatric supracondylar humerus fractures: A prospective randomized controlled trial. J Child Orthop. 2026 Jul 10:18632521261466900. doi: 10.1177/18632521261466900. Online ahead of print.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional Neurological Examination and Preoperative video-based training module in people with Supracondylar Humerus Fractures and Nerve Examination, run by Ankara City Hospital Bilkent at 1 site in Turkey (Türkiye).
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 3 inclusion and 2 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 30 Mar 2026. 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 Turkey (Türkiye). 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.
What does the primary outcome measure?
Postoperative neurological examination duration (minutes) (time frame: Immediately postoperatively after awakening in the recovery room). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07480798, which also lists 4 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 30 Mar 2026.