NCT00652548
Completed
Not Applicable
Utility of Bedside Ultrasound to Diagnose Clavicle Fractures in the Pediatric Emergency Department
ConditionsFractures
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fractures
- Sponsor
- University of Louisville
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Comparison of a blinded reviewer's interpretation of bedside US images to an attending radiologist's interpretation of radiographs
- Status
- Completed
- Last Updated
- 9 years ago
Overview
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.
Investigators
Keith Cross
Assistant Professor
University of Louisville
Eligibility Criteria
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)
Outcomes
Primary Outcomes
Comparison of a blinded reviewer's interpretation of bedside US images to an attending radiologist's interpretation of radiographs
Time Frame: Single visit to emergency department
Secondary Outcomes
- Interoperator reliability between the blinded reviewer and bedside ED physician(Single ED visit)
- FACES pain score for pain for US vs. radiographs for children ≥ 5 yrs(Single ED visit)
- Unblinded real-time bedside US by the ED physician vs. radiographs(Single ED visit)
Study Sites (1)
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