Strength After Elbow Fractures in the Elderly

Study Overview
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Brief Summary
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Elderly patients strength and function, specifically the ability to rise from a seat after either operative or non operative treatment of an mayo type 2 olecranon fracture.

Detailed Description
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Elderly patients with an olecranon fracture will receive appropriate treatment as determined by the treating surgeon. Patients will then be assessed at 6 weeks, 6 months and 12 months post treatment. Assessments include, range of motion, patient reported outcomes and a strength test.

Official Title
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Strength and Function After Non-operative Treatment of Displaced Olecranon Fractures in the Elderly: Implications of Standing UP From a Seat

Conditions
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Fracture;Elbow

Intervention / Treatment
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* Other: Patient Reported Outcomes
* Other: Strength Test


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ≥65 years of age Mayo type II olecranon fracture Ambulatory (with or without the use of walking aides) Exclusion Criteria: Additional injuries to the affected arm or contralateral arm Associated nerve injury Dementia or cognitive impairment that inhibits the collection of outcome measures Likely problems, in the judgement of the investigator, with maintaining follow-up (i.e. patients with no fixed address, not mentally competent to give consent, intellectually challenged, patients without adequate support, etc.) Injury or previous deficit to the contralateral arm Currently enrolled in any other research study involving drugs or medical devices Open fractures Inability to provide informed consent

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Operative<br>Internal fixation of the displaced olecranon fracture. | Other: Patient Reported Outcomes<br>* Satisfaction, Disabilities of the Shoulder, Arm and Hand<br>Other: Strength Test<br>* Handheld dynamometer to measure tricep extension<br>|
| Non Operative<br>Conservative treatment as determined by the treating surgeon. | Other: Patient Reported Outcomes<br>* Satisfaction, Disabilities of the Shoulder, Arm and Hand<br>Other: Strength Test<br>* Handheld dynamometer to measure tricep extension<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Extension Strength | Patients will push down on their distal forearm through a hand held dynamometer, to measure tricep extension strength | 12 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Arc of Motion | Elbow extension and elbow flexion measured with a goniometer | 12 months | 
| Mayo Elbow Performance Index | An instrument used to test the limitations, caused by pathology, of the elbow during activities of daily living. Higher scores indicate a better outcome. | 12 Months | 
| Disabilities of the Arm, Shoulder, and Hand | A 30 Item questionnaire that measures an individuals' ability to complete tasks, absorb forces and severity of symptoms. Lower scores will indicated better outcomes.Lower scores will indicate better outcomes. | 12 Months | 
| Satisfaction Score | Soccer out of 10, higher the score the better the outcome | 6 weeks, 6 months and 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Operative, Non Operative