Value of Sonographic Diagnosis of Toddler's Fracture of the Tibia

• Conditions: Pediatric Fractures

• Registration Number: NCT02077855
• Lead Sponsor: Universitätsklinikum Hamburg-Eppendorf

Brief Summary

This fracture of the distal tibia occurs in 1 to 4 year-old-children. Timely diagnosis is important, because it obviates the need for investigations to archive adequate treatment as well as to prevent unnecessary immobilization. The value of sonographic diagnosis of toddler's fracture has been demonstrated. The aim of the present study is to investigate the reliability and accuracy of sonography in the diagnostic workup of the toddler's fracture.

Detailed Description

This fracture of the distal tibia occurs in 1 to 4 year-old-children. The child usually presents with an acute onset of limp or refusal to bear weight on one leg. Toddlers and young children may present with guarding, but may not have swelling or noticeable deformity.

Radiologic signs can be subtle too. In some cases initial radiographs is negative and fractures are diagnosed on follow-up studies by periosteal reaction.

However, timely diagnosis is important, because it obviates the need for investigations to archive adequate treatment as well as to prevent unnecessary immobilization. The value of sonographic diagnosis of toddler's fracture has been demonstrated. In children it is of particular value as it is comfortable and does not involve the use of ionizing radiation.

The aim of the present study is to investigate the reliability and accuracy of sonography in the diagnostic workup of the toddler's fracture.

Study Timeline

• Study First Submitted: 2012-07-09
• Study First Submitted QC: 2014-03-03
• Study First Posted: 2014-03-04
• Study Start: 2016-01
• Status Verified: 2017-05
• Last Update Submitted: 2017-05-27
• Last Update Posted: 2017-05-31
• Primary Completion: 2020-01
• Study Completion: 2020-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

1. Informed consent
2. Suspicion of Toddlers fractures

Exclusion Criteria

1. Major delay in treatment

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Sonographic identification of "Toddler's" fractures	3y	Comparison of sensitivity and specitivity of sonography and x-ray

Secondary Outcome Measures

Name	Time	Method
US does not cause more discomfort than x-ray	3y

Trial Locations

Locations (1)

UKE Medical School; 🇩🇪 Hamburg, Germany