Protocol for Surgery or Cast of the EpicoNdyle in Children’s Elbows (SCIENCE) Article Swipe
Juul Achten
,
D. E. Appelbe
,
Louise Spoors
,
Nicholas Peckham
,
Rebecca Kandiyali
,
James Mason
,
David O. Ferguson
,
James G. Wright
,
Nicola Wilson
,
Jennifer Preston
,
Amy Moscrop
,
Matthew L. Costa
,
Daniel C. Perry
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1302/2633-1462.51.bjo-2023-0127.r1
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1302/2633-1462.51.bjo-2023-0127.r1
Aims The management of fractures of the medial epicondyle is one of the greatest controversies in paediatric fracture care, with uncertainty concerning the need for surgery. The British Society of Children’s Orthopaedic Surgery prioritized this as their most important research question in paediatric trauma. This is the protocol for a randomized controlled, multicentre, prospective superiority trial of operative fixation versus nonoperative treatment for displaced medial epicondyle fractures: the Surgery or Cast of the EpicoNdyle in Children’s Elbows (SCIENCE) trial. Methods Children aged seven to 15 years old inclusive, who have sustained a displaced fracture of the medial epicondyle, are eligible to take part. Baseline function using the Patient-Reported Outcomes Measurement Information System (PROMIS) upper limb score, pain measured using the Wong Baker FACES pain scale, and quality of life (QoL) assessed with the EuroQol five-dimension questionnaire for younger patients (EQ-5D-Y) will be collected. Each patient will be randomly allocated (1:1, stratified using a minimization algorithm by centre and initial elbow dislocation status (i.e. dislocated or not-dislocated at presentation to the emergency department)) to either a regimen of the operative fixation or non-surgical treatment. Outcomes At six weeks, and three, six, and 12 months, data on function, pain, sports/music participation, QoL, immobilization, and analgesia will be collected. These will also be repeated annually until the child reaches the age of 16 years. Four weeks after injury, the main outcomes plus data on complications, resource use, and school absence will be collected. The primary outcome is the PROMIS upper limb score at 12 months post-randomization. All data will be obtained through electronic questionnaires completed by the participants and/or parents/guardians. The NHS number of participants will be stored to enable future data linkage to sources of routinely collected data (i.e. Hospital Episode Statistics). Cite this article: Bone Jt Open 2024;5(1):69–77.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1302/2633-1462.51.bjo-2023-0127.r1
- https://boneandjoint.org.uk/article/10.1302/2633-1462.51.BJO-2023-0127.R1/pdf
- OA Status
- gold
- Cited By
- 5
- References
- 37
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391225185
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4391225185Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1302/2633-1462.51.bjo-2023-0127.r1Digital Object Identifier
- Title
-
Protocol for Surgery or Cast of the EpicoNdyle in Children’s Elbows (SCIENCE)Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-25Full publication date if available
- Authors
-
Juul Achten, D. E. Appelbe, Louise Spoors, Nicholas Peckham, Rebecca Kandiyali, James Mason, David O. Ferguson, James G. Wright, Nicola Wilson, Jennifer Preston, Amy Moscrop, Matthew L. Costa, Daniel C. PerryList of authors in order
- Landing page
-
https://doi.org/10.1302/2633-1462.51.bjo-2023-0127.r1Publisher landing page
- PDF URL
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https://boneandjoint.org.uk/article/10.1302/2633-1462.51.BJO-2023-0127.R1/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://boneandjoint.org.uk/article/10.1302/2633-1462.51.BJO-2023-0127.R1/pdfDirect OA link when available
- Concepts
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Epicondyle, Medicine, Quality of life (healthcare), Physical therapy, Randomized controlled trial, Elbow, Visual analogue scale, Surgery, Fixation (population genetics), Regimen, Range of motion, Nursing, Population, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 5Per-year citation counts (last 5 years)
- References (count)
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37Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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