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DATABASES

Forearm Database, forearm pathology 

 

2D COHORT, finished 

6.8-month follow-up of forearm fractures in children  

In four Dutch hospitals, 410 children (<16 years) who sustained a both-bone forearm fracture were included. Children were followed up for 6-9 months and data from questionnaires, physical examination and X-rays were collected.  

7-year follow-up of forearm fractures in children 

Children publication, coming soon 

3D COHORT, ongoing 

Patients undergoing corrective osteotomy of upper extremity 

ROM of both sides 

X-rays of both sides 

Preoperative CT-scan 

Postoperative CT-scan 

PROMs 

 

SUSPECT database, occult scaphoid fractures 

 

SUSPECT study publication 

We included 180 patients with suspected scaphoid fractures and normal initial radiographs at the emergency department in our multicenter randomized controlled trial.  

Questionnaires, physical examination, and radiographs were performed at 2 weeks and 1 year. Additional questionnaires were sent after inclusion, 6 weeks, and 3 months.  

Our primary outcome was the adjusted estimated difference between groups of the Quick Disabilities of the Arm, Shoulder, and Hand (QDASH) score at 3 months (natural logarithm of the margin of noninferiority = 2.0).  

Secondary outcomes included the QDASH score, Patient-Rated Hand/Wrist Evaluation Score, visual analog scale pain, wrist range of motion, patient satisfaction, and complications during follow-up. 

 

CAST database, displaced distal radius fractues 

 

CAST study publication 

In a pragmatic, open-label, multicentre, two-period cluster-randomized superiority trial, we compared these two types of casting. Recruitment took place in ten hospitals.  

 

420 patients aged ≥ 18 years with a displaced distal radial fracture, which was acceptably aligned after closed reduction, were included.  

 

 

The primary outcome measure was the rate of redisplacement within five weeks of immobilization.  

Secondary outcomes were the rate of complaints relating to the cast, clinical outcomes at three months, patient-reported outcome measures (PROMs) (using the numerical rating scale (NRS), the abbreviated version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH), and Patient-Rated Wrist/Hand Evaluation (PRWHE) scores), and adverse events such as the development of compartment syndrome during one year of follow-up.  

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