Diagnostic Performance of Ultrasound for Primary Survey of Traumatic Long Bone Fractures

NCT05742048 | Unknown

• 1 other identifier: Long bone sonography
• Study Type: observational
• Target: 190
• Locations: 1 country
• Sites: 1

Brief Summary

Long bone fractures are among the most traumatic patients seen in emergency departments. Using ultrasound to diagnose long bone fractures can reduce the risk of complications occurring During the primary and secondary survey. The diagnosis of long bone fractures is traditionally accomplished through plain radiographs taken at perpendicular angles to each other. Because of the resources required for radiographic capability, X-ray can be inaccessible in rural or remote areas, or in hospital during break time, In settings where a radiography technologist is not present on-site or in patient have conditions do for him limitations movement Using ultrasound machines to do patient examination can be performed earlier of assessment, and at the bedside, reducing diagnostic delays and time to initiation of management. Additional Advantages of Ultrasound include its simplicity, portability, repeatability, and its lack of ionizing radiation. Using ultrasound technology don't need equipment for lead protectors on health care providers, as well as the harmful effects to patients of ionizing radiation and safe to use with pregnant patients in the first and second trimester. However, this technique can be impractical because the training necessary for the use of this technology Diagnosis of long bone fractures in primary assessment can decrease risk of complications such as shock, bleeding, swelling, embolism compartment syndrome, vascular or neurological damage and patient's transposition related change shape and type of a fracture. that complications can lead to life-threatening conditions up to death specifically in geriatric and paediatric Patients

Conditions

Trauma

Keywords

Long bone fractures; Bone sonography; Ultrasound Bone scan

Outcome Measures

Primary Outcomes (1)

• Comparison between Ultrasound bone scan result and X-ray imaging accuracy and sensitivity.

  measure of sensitivity, specificity, positive and negative predictive values and accuracy of ultrasound

  through study completion, an average of 1 year

Study Arms (1)

traumatic patient suspect to have long bone fracture between 18 - 65 years old

Diagnostic Test: traumatic patient suspect to have long bone fracture between 18 - 65 years old

Interventions

traumatic patient suspect to have long bone fracture between 18 - 65 years old DIAGNOSTIC_TEST

Number of patients diagnosed to have a long bone fracture by using ultrasound. Number of patients diagnosed to have a long bone fracture by using x-ray . Comparison between Ultrasound bone scan result and X-ray imaging accuracy and sensitivity.

traumatic patient suspect to have long bone fracture between 18 - 65 years old

Eligibility Criteria

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

Study Population

Traumatic patient between 18 - 60 years old suspect to have long bone fracture with in the first 24 hours from trauma

You may qualify if:

• traumatic patient suspect to have long bone fracture between 18 - 65 years old

You may not qualify if:

• Patient refused to participate in the research.
• Previously diagnosed patient with long bone fractures.
• Critically injured patients
• Obese patient (BMI) \> 35

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Assiut university

Asyut, 71515, Egypt

Location

Related Publications (4)

• O'Brien AJ, Moussa MA. Using ultrasound to diagnose long bone fractures. JAAPA. 2020 Feb;33(2):33-37. doi: 10.1097/01.JAA.0000651736.02537.ef.

  PMID: 31990832 RESULT

• Nicholson JA, Makaram N, Simpson A, Keating JF. Fracture nonunion in long bones: A literature review of risk factors and surgical management. Injury. 2021 Jun;52 Suppl 2:S3-S11. doi: 10.1016/j.injury.2020.11.029. Epub 2020 Nov 11.

  PMID: 33221036 RESULT

• Chartier LB, Bosco L, Lapointe-Shaw L, Chenkin J. Use of point-of-care ultrasound in long bone fractures: a systematic review and meta-analysis. CJEM. 2017 Mar;19(2):131-142. doi: 10.1017/cem.2016.397. Epub 2016 Dec 5.

  PMID: 27916021 RESULT

• Gharahbaghian L, Anderson KL, Lobo V, Huang RW, Poffenberger CM, Nguyen PD. Point-of-Care Ultrasound in Austere Environments: A Complete Review of Its Utilization, Pitfalls, and Technique for Common Applications in Austere Settings. Emerg Med Clin North Am. 2017 May;35(2):409-441. doi: 10.1016/j.emc.2016.12.007.

  PMID: 28411935 RESULT

Related Links

• Use of point-of-care ultrasound in long bone fractures: a systematic review and meta-analysis Lucas B Chartier et al. CJEM. 2017 Mar.
• Mitchell C. World Radiography Day: two-thirds of the world's population has no access to diagnostic imaging,

MeSH Terms

Conditions

Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Study Record Dates

• First Submitted: January 30, 2023
• First Posted: February 23, 2023
• Study Start: March 1, 2023
• Primary Completion: June 30, 2023
• Study Completion: July 1, 2024
• Last Updated: February 27, 2023

Record last verified: 2023-01

Locations

EG (1)