Functional treatment versus plaster for simple elbow dislocations (FuncSiE): a randomized trial

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• 作者：Jeroen de Haan (1)
  Dennis den Hartog (2)
  Wim E Tuinebreijer (2)
  Gijs IT Iordens (2)
  Roelf S Breederveld (3)
  Maarten WGA Bronkhorst (4)
  Milko MM Bruijninckx (5)
  Mark R De Vries (6)
  Boudewijn J Dwars (7)
  Denise Eygendaal (8)
  Robert Haverlag (9)
  Sven AG Meylaerts (10)
  Jan-Willem R Mulder (11)
  Kees J Ponsen (12)
  W Herbert Roerdink (13)
  Gert R Roukema (14)
  Inger B Schipper (15)
  Michel A Schouten (16)
  Jan Bernard Sintenie (17)
  Senail Sivro (18)
  Johan GH Van den Brand (19)
  Hub GWM Van der Meulen (20)
  Tom PH Van Thiel (21)
  Arie B Van Vugt (22)
  Egbert JMM Verleisdonk (23)
  Jos PAM Vroemen (24)
  Marco Waleboer (25)
  W Jaap Willems (26)
  Suzanne Polinder (27)
  Peter Patka (2)
  Esther MM van Lieshout (2)
  Niels WL Schep (2)
  
• 刊名：BMC Musculoskeletal Disorders
• 出版年：2010
• 出版时间：December 2010
• 年：2010
• 卷：11
• 期：1
• 全文大小：213KB
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  14. de Haan J, Schep NWL, Peters RW, Tuinebreijer WE, den Hartog D: [Simple elbow dislocations in the Netherlands: what are Dutch surgeons doing?]. / Nederlands Tijdschrift voor Traumtologie 2009, 17:124鈥?27. CrossRef
  15. Hudak PL, Amadio PC, Bombardier C: Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). / Am J Ind Med 1996, 29:602鈥?08. CrossRef
  16. Beaton DE, Katz JN, Fossel AH, Wright JG, Tarasuk V, Bombardier C: Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity. / J Hand Ther 2001, 14:128鈥?46.
  17. Morrey BF, An KN, Chao EYS: Functional evaluation of the elbow. In / The Elbow and Its Disorders. 2nd edition. Edited by: Morrey BF. Philadelphia: WB Saunders; 1993:86鈥?9.
  18. Dawson J, Doll H, Boller I, Fitzpatrick R, Little C, Rees J, Jenkinson C, Carr AJ: The development and validation of a patient-reported questionnaire to assess outcomes of elbow surgery. / J Bone Joint Surg Br 2008, 90:466鈥?73. CrossRef
  19. Floor S, Overbeke AJ: [Questionnaires on the quality of life in other than the Dutch language used in the Nederlands Tijdschrift voor Geneeskunde (Dutch Journal of Medicine): the translation procedure and arguments for the choice of the questionnaire]. / Ned Tijdschr Geneeskd 2006, 150:1724鈥?727.
  20. Ware JE Jr, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. / Med Care 1992, 30:473鈥?83. CrossRef
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  23. Broberg MA, Morrey BF: Results of treatment of fracture-dislocations of the elbow. / Clin Orthop Relat Res 1987, 109鈥?19.
  24. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/11/263/prepub
  
• 作者单位：Jeroen de Haan (1)
  Dennis den Hartog (2)
  Wim E Tuinebreijer (2)
  Gijs IT Iordens (2)
  Roelf S Breederveld (3)
  Maarten WGA Bronkhorst (4)
  Milko MM Bruijninckx (5)
  Mark R De Vries (6)
  Boudewijn J Dwars (7)
  Denise Eygendaal (8)
  Robert Haverlag (9)
  Sven AG Meylaerts (10)
  Jan-Willem R Mulder (11)
  Kees J Ponsen (12)
  W Herbert Roerdink (13)
  Gert R Roukema (14)
  Inger B Schipper (15)
  Michel A Schouten (16)
  Jan Bernard Sintenie (17)
  Senail Sivro (18)
  Johan GH Van den Brand (19)
  Hub GWM Van der Meulen (20)
  Tom PH Van Thiel (21)
  Arie B Van Vugt (22)
  Egbert JMM Verleisdonk (23)
  Jos PAM Vroemen (24)
  Marco Waleboer (25)
  W Jaap Willems (26)
  Suzanne Polinder (27)
  Peter Patka (2)
  Esther MM van Lieshout (2)
  Niels WL Schep (2)
  
  1. Department of Surgery-Traumatology, Westfriesgasthuis, P.O. Box 600, 1620 AR, Hoorn, The Netherlands
  2. Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
  3. Department of Surgery-Traumatology, Red Cross Hospital, P.O. Box 1074, 1940 EB, Beverwijk, The Netherlands
  4. Department of Surgery-Traumatology, Bronovo Hospital, P.O. Box 96900, 2509 JH, The Hague, The Netherlands
  5. Department of Surgery-Traumatology, IJsselland Hospital, P.O. Box 690, 2900 AR, Capelle a/d IJssel, The Netherlands
  6. Department of Surgery-Traumatology, Reinier de Graaf Gasthuis, P.O. Box 5011, 2600 GA, Delft, The Netherlands
  7. Department of Surgery-Traumatology, Slotervaart Hospital, P.O. Box 90440, 1006 BK, Amsterdam, The Netherlands
  8. Department of Orthopaedics, Amphia Hospital, P.O. Box 90158, 4800 RK, Breda, The Netherlands
  9. Department of Surgery-Traumatology, Onze Lieve Vrouwe Gasthuis, P.O. Box 95500, 1090 HM, Amsterdam, The Netherlands
  10. Department of Surgery-Traumatology, Medical Center Haaglanden, P.O. Box 432, 2501 CK's, Gravenhage, The Netherlands
  11. Department of Surgery-Traumatology, Zaans Medical Center, P.O. Box 210, 1500 EE, Zaandam, The Netherlands
  12. Department of Surgery-Traumatology, Academic Medical Center, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands
  13. Department of Surgery-Traumatology, Deventer Hospital, P.O. Box 5001, 7400 GC, Deventer, The Netherlands
  14. Department of Surgery-Traumatology, Maasstad Hospital, P.O. Box 9100, 3007 AC, Rotterdam, The Netherlands
  15. Department of Surgery-Traumatology, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, The Netherlands
  16. Department of Surgery-Traumatology, Hospital Rivierenland, P.O. Box 6024, 4000 HA, Tiel, The Netherlands
  17. Department of Surgery-Traumatology, Elkerliek Hospital, P.O. Box 98, 5700 AB, Helmond, The Netherlands
  18. Department of Surgery-Traumatology, Flevo Hospital, P.O. Box 3005, 1300 EG, Almere, The Netherlands
  19. Department of Surgery-Traumatology, Medical Center Alkmaar, P.O. Box 501, 1800 AM, Alkmaar, The Netherlands
  20. Department of Surgery-Traumatology, Haga Hospital, P.O. Box 40551, 2504 LN 's, Gravenhage, The Netherlands
  21. Department of Surgery-Traumatology, Hospital Queen Beatrix, P.O. Box 9005, 7100 GG, Winterswijk, The Netherlands
  22. Department of Surgery-Traumatology, Medical Spectrum Twente, P.O. Box 50.000, 7500 KA, Enschede, The Netherlands
  23. Department of Surgery-Traumatology, Diakonessenhuis, P.O. Box 80250, 3508 TG, Utrecht, The Netherlands
  24. Department of Surgery-Traumatology, Amphia Hospital, P.O. Box 90158, 4800 RK, Breda, The Netherlands
  25. Department of Surgery-Traumatology, Admiraal de Ruyter Hospital, P.O. Box 106, 4460 BB, Goes, The Netherlands
  26. Department of Orthpaedic Surgery, Onze Lieve Vrouwe Gasthuis, P.O. Box 95500, 1090 HM, Amsterdam, The Netherlands
  27. Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
  

文摘

Background Elbow dislocations can be classified as simple or complex. Simple dislocations are characterized by the absence of fractures, while complex dislocations are associated with fractures. After reduction of a simple dislocation, treatment options include immobilization in a static plaster for different periods of time or so-called functional treatment. Functional treatment is characterized by early active motion within the limits of pain with or without the use of a sling or hinged brace. Theoretically, functional treatment should prevent stiffness without introducing increased joint instability. The primary aim of this randomized controlled trial is to compare early functional treatment versus plaster immobilization following simple dislocations of the elbow. Methods/Design The design of the study will be a multicenter randomized controlled trial of 100 patients who have sustained a simple elbow dislocation. After reduction of the dislocation, patients are randomized between a pressure bandage for 5-7 days and early functional treatment or a plaster in 90 degrees flexion, neutral position for pro-supination for a period of three weeks. In the functional group, treatment is started with early active motion within the limits of pain. Function, pain, and radiographic recovery will be evaluated at regular intervals over the subsequent 12 months. The primary outcome measure is the Quick Disabilities of the Arm, Shoulder, and Hand score. The secondary outcome measures are the Mayo Elbow Performance Index, Oxford elbow score, pain level at both sides, range of motion of the elbow joint at both sides, rate of secondary interventions and complication rates in both groups (secondary dislocation, instability, relaxation), health-related quality of life (Short-Form 36 and EuroQol-5D), radiographic appearance of the elbow joint (degenerative changes and heterotopic ossifications), costs, and cost-effectiveness. Discussion The successful completion of this trial will provide evidence on the effectiveness of a functional treatment for the management of simple elbow dislocations. Trial Registration The trial is registered at the Netherlands Trial Register (NTR2025).