Prednisone for CRPS in Distal Radius Fracture

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age19+
SponsorUniversity of British Columbia

About this trial

Wrist fractures are the most prevalent adult fracture. Complex regional pain syndrome (CRPS) is a common complication that can occur, leading to permanent disability and is costly to the patient and healthcare system. In addition, amidst the opioid epidemic, the risk of increased opioid use in patients with CRPS prompts the need to find viable treatment strategies. This study aims to evaluate an anti-inflammatory medication, prednisone, in the early treatment of CRPS. Patients with wrist fractures who undergo surgical treatment will be randomized to receiving placebo vs prednisone for 2 weeks. Clinical assessments in the follow up period will be compared.

Eligibility criteria

Qualifiers

Patient is aged 19 years or older;

Patient has a unilateral, closed, distal radius fracture confirmed by radiographs;

The fracture is acute, within 21 days of injury;

Patient undergoes open reduction internal fixation with volar locking plate;

Disqualifiers

Patient has previously fractured ipsilateral wrist;

Patient has neurovascular injury associated with distal radius fracture;

Patient has associated extremity or polytrauma injuries that would interfere with rehabilitation and outcome measurements, in the opinion of the investigator;

Patient has allergy to prednisone or placebo ingredients;

Trial design

Treatments tested in this trial

  • Prednisone
  • Placebo

Treatment groups

40 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of British Columbia

Lead sponsor

Canadian Orthopaedic Foundation

Collaborator