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Research project  |  Should we treat a patient with a clinically suspected scaphoid fracture with cast or supportive bandage? “A multicenter randomized controlled trial”.

SUSPECT-study

Patients with a clinically suspected scaphoid fracture and normal initial radiographs are treated with 2 weeks below-elbow cast. However, only 10% of these patients has eventually a scaphoid fracture. Therefore, we are treating most patients unnecessary.

What we do

About our project

We are performing our study to optimize treatment for patients with a clinically suspected scaphoid fracture. Patients with a clinically suspected scaphoid fracture and normal initial radiographs are treated with 2 weeks below-elbow cast since 10% of these patients has an occult scaphoid fracture. Eventually, this results in unnecessary cast treatment in 90% of the patients. Therefore, we are evaluating if patients can be treated with 3 days supportive bandage instead of 2 weeks cast and if it is cost-effective.

The follow up period of our study is 1 year. Patients are evaluated after 2 weeks and 1 year in the hospitals with a physical examination and radiographs and at several time points during the follow up questionnaires are send to the patients via email.

Our study is a randomized controlled multicenter study and all hospitals between The Hague until Dordrecht are participating.

Funds & Grants

We received grants from ZonMw and CZ to perform this study

Collaborations

Department of surgery

Department of emergency medicine

Haaglanden Medisch Centrum

Haga Ziekenhuis

Reinier de Graag Gasthuis

Ikazia ziekenhuis

IJsselland ziekenhuis

Maasstad ziekenhuis

Franciscus Vlietland

Sint Franciscus Gasthuis

Albert Schweitzer Ziekenhuis Dordrecht en Zwijndrecht

Publications

Cohen A, Reijman M, Kraan GA, Mathijssen NMC, Koopmanschap MA, Verhaar JAN, Mol S, Colaris JW; SUSPECT study group.

Clinically SUspected ScaPhoid fracturE: treatment with supportive bandage or CasT? 'Study protocol of a multicenter randomized controlled trial' (SUSPECT study).

BMJ Open. 2020 Sep 29;10(9):e036998.

Our team

Prof.dr.J.A.N. Verhaar, orthopedic surgeon

Principal Investigators

Phd Students