Role of US vs X Ray in Detection of Pediatric Elbow Fractures.

NCT05968092 | Unknown

• 1 other identifier: US and X Ray in elbow
• Study Type: observational
• Target: 52
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this prospective study is to evaluate and compare the accuracy of elbow ultrasonography with X Ray radiography for the diagnosis of elbow fractures in children following trauma in order to detect the validity of US in diagnosis of fractures as a dependent tool.

Conditions

Elbow Fractures

Outcome Measures

Primary Outcomes (1)

• Evaluate the accuracy of elbow ultrasonography for the diagnosis of elbow fractures in children following trauma.

  Ultrasonography examination is done by a 5-10 MHz linear probe , searching for fracture sonographic fndings such as fracture line (it's site and size in cm), lipohaemarthrosis, subcutaneous edema, intramuscular haematoma, subperiosteal haematoma and posterior fat pad. For performing elbow ultrasonography, patients took a sitting position in front of the examiner. In this position, the elbow flexed to 90 degrees , then the transducer was placed over the posterior-midline aspect of the distal humerus. Both transverse and longitudinal views of the elbow are obtained, and still, pictures and video clips are recorded in each orientation.

  Base line

Eligibility Criteria

• Age: 7 Months - 14 Years
• Sex: all
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Ultrasonography examination is done by a 5-10 MHz linear probe. Immediately after it , sonographic fndings are recorded the on data collection forms and after that standard two-view radiographic imaging (AP and lateral elbow X-ray) of the elbow is performed and compared with US results. For performing elbow ultrasonography, patients took a sitting position in front of the examiner. In this position, the elbow flexed to 90 degrees , then the transducer was placed over the posterior-midline aspect of the distal humerus. Both transverse and longitudinal views of the elbow are obtained, and still, pictures and video clips are recorded in each orientation.

You may qualify if:

• The patients' age between 7 month and 14 years with a suspected elbow fracture.
• Patients who less than 7 days after the injury of elbow.

You may not qualify if:

• Patients with a an open injury in elbow.
• Patients with suspected vascular injury.
• Patients with unstable vital signs .

Sponsors & Collaborators

• Assiut University: lead

Related Publications (1)

• Azizkhani R, Hosseini Yazdi Z, Heydari F. Diagnostic accuracy of ultrasonography for diagnosis of elbow fractures in children. Eur J Trauma Emerg Surg. 2022 Oct;48(5):3777-3784. doi: 10.1007/s00068-021-01648-6. Epub 2021 Mar 24.

  PMID: 33763708 BACKGROUND

MeSH Terms

Conditions

Elbow Fractures

Condition Hierarchy (Ancestors)

Elbow Injuries; Arm Injuries; Wounds and Injuries; Fractures, Bone

Study Officials

• Mohamed Gabeer, Lecturer

  Assiut University

  STUDY DIRECTOR

• Hesham Mohammed, Lecturer

  Assiut University

  STUDY DIRECTOR

Central Study Contacts

Mariam Mosad, Master

CONTACT

01272629579; mariammosad475@gmail.com

Ahmed Mostafa, Professor

CONTACT

01000024182; moustafamanar@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE CROSSOVER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Month
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Resident doctor

Study Record Dates

• First Submitted: July 7, 2023
• First Posted: August 1, 2023
• Study Start: August 7, 2023
• Primary Completion: August 7, 2024
• Study Completion: September 1, 2024
• Last Updated: August 1, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share