Ultrasound Guided Versus Landmark Guided Small & Medium Joint Arthrocentesis
1 other identifier
interventional
30
1 country
1
Brief Summary
Arthrocentesis is the removal of synovial fluid for analysis of pathologic processes. Small \& medium joint arthrocentesis will be defined as the following joints: elbow, wrist, finger, ankle and toe. Ultrasound (US) and landmark (LM) small \& medium joint arthrocentesis are both performed within the clinical setting. Both techniques are considered standard of care. Selection of which technique to use is dependent upon the physician's preference. There is currently limited data comparing the two methods. The investigators hope to determine if one modality is more effective in terms of success rate, number of attempts, and time to complete the procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2017
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2017
CompletedFirst Submitted
Initial submission to the registry
October 27, 2017
CompletedFirst Posted
Study publicly available on registry
October 31, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2019
CompletedJanuary 22, 2020
January 1, 2020
3 years
October 27, 2017
January 20, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Superiority of Method of arthrocentesis
Number of attempts until successful arthrocentesis
1 day
Secondary Outcomes (1)
Success of method
1 day
Study Arms (2)
Ultrasound Guided Arthrocentesis
ACTIVE COMPARATORThe patients in this group will have ultrasound guided arthrocentesis.
Landmark Guided Arthrocentesis
ACTIVE COMPARATORThe patients in this group will have landmark guided arthrocentesis.
Interventions
Eligibility Criteria
You may qualify if:
- All patients who require an arthrocentesis of a small and/or medium joint (defined previously)
You may not qualify if:
- Coagulopathic patients
- Patients on anticoagulants
- Patients with cellulitis overlying the joint.
- Patients with artificial joints
- Adults Unable to Consent
- Vulnerable Populations
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Lewis Katz School of Medicine at Temple University
Philadelphia, Pennsylvania, 19140, United States
Related Publications (1)
Gibbons RC, Zanaboni A, Genninger J, Costantino TG. Ultrasound-versus landmark-guided medium-sized joint arthrocentesis: A randomized clinical trial. Acad Emerg Med. 2022 Feb;29(2):159-163. doi: 10.1111/acem.14396. Epub 2021 Oct 23.
PMID: 34608713DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ryan C Gibbons, MD
Lewis Katz School of Medicine at Temple University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 27, 2017
First Posted
October 31, 2017
Study Start
January 1, 2017
Primary Completion
December 31, 2019
Study Completion
December 31, 2019
Last Updated
January 22, 2020
Record last verified: 2020-01