Cervical Myelopathy in Hip Fracture Patients.

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Flynn Rowan

Principal Investigator

Status: Enrolling By Invitation Ages: 50 Years - 100 Years Gender: All Genders Phase: N/A 2 Locations

Brief Description

What is the purpose of this study?

Recent evidence has demonstrated a high rate of undiagnosed cervical myelopathy in patients presenting with hip fractures from a ground level fall. Identification and treatment of cervical myelopathy can help prevent falls and future fragility fractures. The purpose of this study is to screen ground level fall hip fracture patients for cervical myelopathy using a history, physical exam, and then an MRI if indicated.

THIS STUDY IS ENROLLING BY INVITATION ONLY - This study is only enrolling patients who sustain a hip fracture and are admitted to either Methodist hospital or Eskenazi hospital.  Once a potentially eligible patient is admitted, the study team will screen the patient for inclusion and exclusion criteria via chart review. If criteria are met, the patient will be seen in the hospital by study team and the patient will be consented for the study. 

Detailed Description

What will happen during the study?

With this study, we want to see if asking additional questions and doing a physical of patients who come into the hospital with hip fractures identifies cervical myelopathy that may otherwise be missed and help those patients get proper treatment.

The study team will do a physical exam and take a history from the patient for research purposes, looking for signs/symptoms of cervical myelopathy. If it is determined the patient likely has cervical myelopathy, as standard of care, the patient will be offered an MRI and possibly be referred to a surgeon.

Eligibility of study

Inclusion criteria:

  • Admitted to Eskenazi or Methodist hospital for a hip fracture (femoral neck, intertrochanteric, subtrochanteric, or pertrochanteric fracture) that was caused by a ground level fall

Exclusion criteria:

  • Neurologic or cognitive disorder explaining the fall (dementia, Parkinson's disease, delirium, etc.)
  • Syncopal fall caused by stroke or a heart condition

Interested in participating?

Enrollment in IU School of Medicine clinical trials is managed through our All IN for Health program. Many studies only accept people who are part of an invited group. Visit allinforhealth.info to connect with the study team, or contact your doctor to see if you are eligible.