Skipping the Bone-Straightening step for wrist breaks in seniors?
NCT ID NCT07042139
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at whether older adults (65+) with a displaced wrist fracture can be treated with just a cast, without first straightening the bone (closed reduction). The trial will compare pain and disability at 12 months between those who get a cast only and those who get the standard reduction plus cast. About 532 participants will be followed for up to 5 years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Casting (dorsal cast)
- What this could lead to
- If successful, this could show that older adults with a broken wrist can avoid a painful reduction procedure and still recover well with just a cast.
- What could go wrong
- This is a relatively small, early-stage study. The results may not apply to everyone, and skipping reduction could lead to worse pain or function in some patients.
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
-
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
-
About 532 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Aug 2025
- Expected to finish
-
Jul 2033
An estimate. End dates often move.
- Lead sponsor
-
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
-
65 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 65 years or older * Independent living patients * Displaced distal radius fracture (AO/OTA 23A/23C) with 15-40 degree dorsal angulation, and/or of shortening of the radius for more than 2 mm. * Associated ulnar styloid fracture is permitted * Low energy injury, (fall from \<1 m) Exclusion Criteria: * Patient unable to provide consent * Patients who are actively working in a paid position * Volar angulation, partial articular fractures (AO/OTA 23B) * Concomitant fracture of the ulna proximal to the base of the styloid process * Associated fracture or dislocation in any other body part that would affect the use of the injured distal radius * Distal radius fractures in both arms * Open injury, Gustilo 2 or higher * No bony contact between the main fragments * High energy injuries
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Casting are added.
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.
-
The places running it
10 sites in 4 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Helsinki University Hospital
RECRUITINGHelsinki, Uusimaa, 00260, Finland
-
Kanta-Häme Central Hospital
RECRUITINGHämeenlinna, Finland
-
Karolinska University Hospital
NOT_YET_RECRUITINGStockholm, Sweden
-
Kuopio University Hospital
RECRUITINGKuopio, Finland
-
Oulu University Hospital
RECRUITINGOulu, 90220, Finland
-
Pori Central Hospital
NOT_YET_RECRUITINGPori, Finland
-
Tampere University Hospital
RECRUITINGTampere, Pirkanmaa, 33520, Finland
-
Tartu University Hospital
RECRUITINGTartu, Estonia
-
Turku University Hospital
NOT_YET_RECRUITINGTurku, Finland
-
Viborg regional Hospital
RECRUITINGViborg, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Sound waves vs. chronic pain: a new test for CRPS after wrist fracture
- Shake it off? Whole-Body vibration may help heal wrist fractures
- Cast length showdown: does a shorter cast speed wrist fracture recovery?
- Splitting a cast: does it shift broken bones in kids?
- Hand therapy showdown: which technique restores wrist function faster?
- Wrist fracture recovery: fear may slow you down