Could skipping sedation for Kids' wrist fractures be just as effective?
NCT ID NCT05131685
First seen Jul 01, 2026 · Last updated Jul 02, 2026 · Updated 1 time
Summary
This trial looks at two approaches for treating displaced wrist fractures in children aged 4 to 10. One group gets the standard sedated reduction (where the bone is realigned under sedation) followed by a cast. The other group gets only a cast without any realignment. The study measures how well the arm functions afterward, aiming to see if the simpler, less invasive approach works just as well.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- closed reduction under conscious sedation
- What this could lead to
- If casting alone works as well as reduction, many children could avoid sedation and its risks, simplifying treatment.
- What could go wrong
- This is a mid-sized trial; results may not apply to all fracture types or ages. Casting alone might lead to slower healing or worse function in some cases.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 334 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2023
- Expected to finish
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Jul 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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4 to 10 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Provision of signed and dated informed consent form by parent or legal guardian 2. Stated willingness to comply with all study procedures and availability for the duration of the study 3. Male or female, aged 4-10 years 4. Diagnosis of 100% dorsally displaced radius metaphyseal fracture with any or no ulna involvement 5. Fracture is less than 5cm from the distal radial growth plate 6. Willing to adhere to the immobilization regimen 7. Fracture is acute (occurred less than 10 days prior to consent and assignment of treatment arm AND with ability to be taken to operating room (OR) or reduced in the emergency department (ED) Exclusion Criteria: 1. Physeal involvement of fracture 2. Presence of open fracture, pathologic fracture, neuromuscular disease, or metabolic disease 3. Fractures other than the ulna near the same level in the ipsilateral arm 4. Fracture cannot be treated with acute reduction due to being older than 10 days 5. Patient and parents are unable to adhere to procedures or complete follow-up due to insufficient comprehension of consent form or surveys or developmental delay
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
24 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Boston Children's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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Children's Hospital of Los Angeles
RECRUITINGLos Angeles, California, 90027, United States
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Children's Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Cincinnati's Children's Hospital
RECRUITINGCincinnati, Ohio, 452229, United States
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Gillette Children's Specialty Healthcare
RECRUITINGSaint Paul, Minnesota, 55101, United States
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Hospital of Special Surgery
RECRUITINGNew York, New York, 10021, United States
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Johns Hopkins Hospital
RECRUITINGBaltimore, Maryland, 21287, United States
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10467, United States
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Nemours Children's Hospital
RECRUITINGWilmington, Delaware, 19803, United States
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Niklaus Children's Hospital
RECRUITINGMiami, Florida, 33155, United States
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Oregon Health and Science University
RECRUITINGPortland, Oregon, 97239, United States
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Phoenix Children's Hospital
RECRUITINGPhoenix, Arizona, 85016, United States
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Riley Children's
RECRUITINGIndianapolis, Indiana, 46202, United States
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Riley Children's Hospital
RECRUITINGIndianapolis, Indiana, 46202, United States
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TRIA Health Partners
RECRUITINGMinneapolis, Minnesota, 55102, United States
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Texas Children's Hospital
RECRUITINGHouston, Texas, 77030, United States
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Texas Scottish Rite Hospital for Children
RECRUITINGDallas, Texas, 75219, United States
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University Hospital- Rutgers
RECRUITINGNew Brunswick, New Jersey, 07103, United States
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University Hospitals Rainbow Babies & Children
RECRUITINGCleveland, Ohio, 44106, United States
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University of California- Los Angeles Medical Center
RECRUITINGLos Angeles, California, 90095, United States
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University of Mississippi Medical Center
RECRUITINGJackson, Mississippi, 39216, United States
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University of New Mexico - Carrie Tingley
RECRUITINGAlbuquerque, New Mexico, 87106, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599, United States
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University of Rochester Medical Center
RECRUITINGRochester, New York, 14642, United States
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