Diagnosing Extremity Fractures and/or Dislocations Using Ultrasound Presenting to the Emergency Department

Not Applicable

Terminated

• Conditions: Fractures; Dislocations
• Interventions: Procedure: Ultrasound

• Registration Number: NCT00356837
• Lead Sponsor: United States Army Institute of Surgical Research

Brief Summary

The purpose of this study is to determine the efficacy of ultrasound in diagnosing the presence or absence of extremity fractures or dislocations.

Hypothesis: Can ultrasound be used as an accurate and effective method for determining the presence or absence of extremity fractures or dislocations? Is there a difference in amount of pain experienced prior to and after the ultrasound?

Detailed Description

This prospective, multicenter cohort study. The sampling method will be a convenience sample of all adult patients presenting to the ED with symptoms concerning a fracture and/or dislocation of an extremity. Once a patient has been deemed an appropriate candidate for the study, written consent will be obtained from one of the Associate Investigators. Once consent has been obtained, a resident physician will perform the ultrasound examination on the affected extremity(s) and note their findings.

Study Timeline

• Study First Submitted: 2006-07-24
• Study First Submitted QC: 2006-07-24
• Study First Posted: 2006-07-26
• Study Start: 2006-08
• Primary Completion: 2010-11
• Study Completion: 2010-11
• Status Verified: 2010-12
• Last Update Submitted: 2010-12-10
• Last Update Posted: 2010-12-13

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 323

Inclusion Criteria

• clinical suspicion of a fracture and/or dislocation of an extremity
• Age Greater than 18 years
• English speaking
• able to give consent

Exclusion Criteria

• Age less than 18 years, including emancipated minors
• Unstable patients with B/P below 90mmHg systolic
• Open, unstable, or suspected compound fracture
• Physician has reviewed X-Rays and made diagnosis before ultrasound could be done
• X-Rays will not be ordered
• Patient is pregnant
• Patient cannot give own consent
• English is not the patient's primary language

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
A	Ultrasound	Those with extremity fractures.

Primary Outcome Measures

Name	Time	Method
Faster diagnosis and sooner definitive treatment for extremity fractures or dislocations.	1 hour

Secondary Outcome Measures

Name	Time	Method
Unnecessary evacuation in the pre hospital combat setting.	2 hours

Trial Locations

Locations (1)

Brooke Army Medical Center; 🇺🇸 Fort Sam Houston, Texas, United States