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

NCT00356837 | Terminated

• 1 other identifier: H-06-004
• Study Type: interventional
• Target: 323
• Locations: 1 country
• Sites: 1

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?

Conditions

Fractures; Dislocations

Outcome Measures

Primary Outcomes (1)

• Faster diagnosis and sooner definitive treatment for extremity fractures or dislocations.

  1 hour

Secondary Outcomes (1)

• Unnecessary evacuation in the pre hospital combat setting.

  2 hours

Study Arms (1)

A

EXPERIMENTAL

Those with extremity fractures.

Procedure: Ultrasound

Interventions

Ultrasound PROCEDURE

use ultrasound to confirm diagnosis of extremity fractures

A

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• 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

Sponsors & Collaborators

• United States Army Institute of Surgical Research: lead

Study Sites (1)

Brooke Army Medical Center

Fort Sam Houston, Texas, 78234, United States

Location

Related Publications (1)

• Kirkpatrick AW, Brown R, Diebel LN, Nicolaou S, Marshburn T, Dulchavsky SA. Rapid diagnosis of an ulnar fracture with portable hand-held ultrasound. Mil Med. 2003 Apr;168(4):312-3.

  PMID: 12733676 BACKGROUND

MeSH Terms

Conditions

Fractures, Bone; Joint Dislocations

Interventions

High-Energy Shock Waves

Condition Hierarchy (Ancestors)

Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Officials

• John G. McManus, MD

  US Army Institute of Surgical Research

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: FED

Study Record Dates

• First Submitted: July 24, 2006
• First Posted: July 26, 2006
• Study Start: August 1, 2006
• Primary Completion: November 1, 2010
• Study Completion: November 1, 2010
• Last Updated: December 13, 2010

Record last verified: 2010-12

Locations

US (1)