MedPath

Use of Ultrasound to Evaluate Clavicle Fractures in Pediatric Patients

Completed
Conditions
Fractures
Registration Number
NCT00652548
Lead Sponsor
University of Louisville
Brief Summary

This studies investigates the hypothesis that bedside ultrasound is as accurate as plain x-rays for diagnosing clavicle fractures in children in a pediatric emergency department. Children with shoulder injuries are enrolled and receive both an ultrasound imaging (experimental) and x-rays (standard-of-care) to see if ultrasound has the same (or better)accuracy, with less cost, time, and radiation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Age 1-18 years
  • Pain from recent shoulder/clavicle injury
  • Intact neurovascular exam
  • Radiographs performed as part of normal ED evaluation
Exclusion Criteria
  • Hemodynamic instability
  • Multisystem trauma
  • Altered mental status
  • Open wounds to injured shoulder
  • Developmental delay
  • Prior radiographs at another clinic/hospital for this injury
  • Previous clavicle fracture on the affected side
  • Ultrasound gel allergy
  • Non-English-speaking parents/child (unable to give informed consent)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Comparison of a blinded reviewer's interpretation of bedside US images to an attending radiologist's interpretation of radiographsSingle visit to emergency department
Secondary Outcome Measures
NameTimeMethod
Interoperator reliability between the blinded reviewer and bedside ED physicianSingle ED visit
FACES pain score for pain for US vs. radiographs for children ≥ 5 yrsSingle ED visit
Unblinded real-time bedside US by the ED physician vs. radiographsSingle ED visit

Trial Locations

Locations (1)

Kosair Children's Hospital

🇺🇸

Louisville, Kentucky, United States

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