Fractures, Bone Clinical Trial
— UFracOfficial title:
The Use of Ultrasonography as a Diagnostic Tool for the Fracture Management
NCT number | NCT04501510 |
Other study ID # | 61.610.022-110 |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | November 2, 2020 |
Est. completion date | July 2021 |
The bone fracture is usually diagnosed using an X-ray examination (the method of choice). However, in the case of the youngest patients (children and adolescents), it carries a potential risk of X-ray radiation exposure. What is important, an X-ray examination often fails to detect occult fractures or the early stages of a fracture with or without bone fusion. The literature emphasizes that from 2 to 36% of fractures may be unnoticed on X-ray images (false negative results). Therefore, additional possibilities are sought to improve the initial diagnosis. It was shown that ultrasound could be used instead of the conventional imaging. The most important advantages of the usg are the absence of radiation exposure and greater availability. Moreover, the evaluator is able to show neovascularization during usg examination, which is important in bone healing process. The aim of this study is (1) to validate the ultrasound imaging method for the fracture management; (2) to use an ultrasound imaging to assess the bone fracture and healing process during 8 weeks post injury. This study consists of 50 patients aged 10-18 years old. The forearm fracture will be diagnosed using an X-ray imaging as well as an ultrasound imaging in the first 3 days post injury (initial study). It is planned to assess the healing process after 2, 4, 6 and/or 8 weeks post injury (comparative study).
Status | Recruiting |
Enrollment | 50 |
Est. completion date | July 2021 |
Est. primary completion date | February 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 10 Years to 18 Years |
Eligibility | Inclusion Criteria: - the proximal end of the humerus and the distal end of the radius bones fractures - voluntary participation and consent to participate in the study signed by the parent and patient - declaration of participation in an X-ray and ultrasound examination during all 8 weeks post-injury - no medical contraindications to participate in the study program Exclusion Criteria: - previous injuries of a similar body area - plaster immobilization - fractures referred for surgery |
Country | Name | City | State |
---|---|---|---|
Poland | University of Warmia and Mazury in Olsztyn | Olsztyn |
Lead Sponsor | Collaborator |
---|---|
University of Warmia and Mazury |
Poland,
Cho KH, Lee SM, Lee YH, Suh KJ. Ultrasound diagnosis of either an occult or missed fracture of an extremity in pediatric-aged children. Korean J Radiol. 2010 Jan-Feb;11(1):84-94. doi: 10.3348/kjr.2010.11.1.84. Epub 2009 Dec 28. — View Citation
Hübner U, Schlicht W, Outzen S, Barthel M, Halsband H. Ultrasound in the diagnosis of fractures in children. J Bone Joint Surg Br. 2000 Nov;82(8):1170-3. — View Citation
Maffulli N, Hughes T, Fixsen JA. Ultrasonographic monitoring of limb lengthening. J Bone Joint Surg Br. 1992 Jan;74(1):130-2. — View Citation
Malahias MA, Manolopoulos PP, Kadu V, Shahpari O, Fagkrezos D, Kaseta MK. Bedside Ultrasonography for Early Diagnosis of Occult Radial Head Fractures in Emergency Room: A CT-Comparative Diagnostic Study. Arch Bone Jt Surg. 2018 Nov;6(6):539-546. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mean Change from Baseline in fracture management using x-ray imaging and medical ultrasound within 8 weeks post-injury | The confirmation of fracture and healing process | through study completion, an average of 1 year | |
Primary | Mean Change from Baseline in adhesions development using medical ultrasound within 8 weeks post-injury | The assessment of the development of adhesions (changes in soft tissue image) | through study completion, an average of 1 year | |
Primary | Mean Change from Baseline in vascularization on POWER Doppler within 8 weeks post-injury | Mean Change from Baseline in vascularization on POWER Doppler within 8 weeks post-injury | through study completion, an average of 1 year | |
Primary | Mean Change from Baseline in Pain Scores on the Visual Analog Scale within 8 weeks post-injury | The changes in pain scale will be assessed using Visual Analogue Scale (VAS) and other specific for the selected injuries. The Visual Analogue Scale (VAS) consists of a straight line with the endpoints defining extreme limits such as 'no pain at all' and 'pain as bad as it could be' (from mild to severe pain). | through study completion, an average of 1 year |
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