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Complications Related To Activity After Pediatric Both Bone Fractures: Exploring the Effects of Activity on Fracture Displacement

Complications Related to Activity After Both Bone Fractures: Why do we Restrict Activity?

Who can join

Ages 8 to 18 · All sexes

Inclusion Criteria:

* Isolated Distal Radius Metaphyseal Fx (with or without ulna styloid)
* Distal Third (\<4 cm from physis) Radius and Ulna fracture (i.e. without obvious physeal involvement)
* Insolated Radial Shaft Fracture (diaphyseal)
* Radial and Ulna Shaft Fracture (diaphyseal)

Exclusion Criteria:

* Initial presentation \>7 days from the time of injury
* Pathologic fracture
* Any patient with metabolic bone disease (ex. Osteoporosis, skeletal dysplasias)
* Any patient with known bone fragility condition (ex. Osteogenesis imperfecta)
* If operative treatment is required at initial presentation

About the study

The goal of this randomized clinical study is to understand the effect of activity on the re-displacement of pediatric forearm fractures in patients ages 8-18 years old excluding those with known metabolic bone disease or obvious refracture. The main questions the study aims to answer are:

Does increased activity lead to increased re-displacement rates during the treatment of pediatric forearm fractures? Are there complications associated with increased levels of activity during the treatment of pediatric forearm fractures (skin irritation, need for re-casting, operation)? Do activity restrictions provided for pediatric forearm fractures influence patient activity levels?

Participants will be randomized into activity-restricted vs activity-limited (no contact sports). Some patients will be provided an ActiGraph Activity tracker to monitor patient activity. Every patient will complete a validated activity survey (PAQ) to assess activity at each follow-up appointment. Activity data and any complications will be recorded from time of initial presentation to cast removal.

What is being tested

• Restricted Activity Reccomendations (behavioral)
• Full Activity/Limited Activity Reccomendations (behavioral)

Sponsor: Vanderbilt University Medical Center · Participants: 100 · Started: Jan 16, 2025

Contact the study team

• Nathaniel Lempert, M.D. · Phone: 419-344-3993
• James F Bathon, B.S. · Phone: 914-471-3665

Official record on ClinicalTrials.gov — NCT06799377

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.