NCT07480798

Rock-Paper-Scissors-OK in Nerve Examination

Rock-Paper-Scissors-OK Game for Neurological Examination in Pediatric Supracondylar Humerus Fractures: A Prospective Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 102 (actual)
• Sponsor: Ankara City Hospital Bilkent · Academic / Other
• Sex: All
• Age: 4 Years – 10 Years
• Healthy volunteers: Not accepted

Summary

Patients presenting to the Orthopedics and Traumatology Clinic of Ankara Bilkent City Hospital with supracondylar humerus (elbow) fractures will initially undergo closed reduction. Following the reduction procedure, radiographic imaging will be obtained and patients will be re-evaluated. If surgical intervention is deemed necessary based on this assessment, operative treatment will be recommended. The surgical technique will consist of closed reduction followed by percutaneous Kirschner wire (K-wire) fixation. In cases where adequate fracture reduction cannot be achieved by closed means, open reduction will be performed through an anterior incision. In these patients, K-wires will again be inserted percutaneously. Fixation will be achieved using one medial (ulnar side) and two lateral K-wires. Postoperatively, a neurological examination will be performed. In patients who are shown a video and taught the game beforehand, neurological assessment will be conducted using the "rock-paper-scissors" game. In other patients, the examination will be performed by demonstrating and requesting specific hand movements. If ulnar nerve deficit is detected during postoperative neurological evaluation, the medial K-wire will be removed. The time interval between the patient's emergence from anesthesia and the neurological examination will be recorded.

Conditions

• Supracondylar Humerus Fractures
• Nerve Examination

Interventions

Type	Name	Description
OTHER	Conventional Neurological Examination	Standard neurological examination performed by the clinician using conventional bedside assessment.
OTHER	Preoperative video-based training module	Participants in the smartphone-assisted group viewed a single standardized preoperative video-based training module delivered via YouTube (duration: 2 minutes 34 seconds).

Timeline

• Start date: 2024-03-13
• Primary completion: 2025-04-18
• Completion: 2025-05-22
• First posted: 2026-03-18
• Last updated: 2026-03-30

Locations

1 site across 1 country: Turkey (Türkiye)