Orthopedic Clinical Trial
— ACL-TSOfficial title:
Construction and Validation of a Functional Score for the Detection of Ruptures of the Anterior Cruciate Ligament in the Immediate Post-traumatic Period
Verified date | April 2021 |
Source | French Arthroscopic Society |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This study develops the construction and validation of a reliable functional screening score in LCA ruptures in the immediate post-traumatic period. This score, realizable in an emergency, would be an early warning signal requiring an emergency consultation with an orthopedic surgeon. It would be a tool for screening acute LCA ruptures at a time when ligament testing maneuvers are too painful to be contributory to the diagnosis. It would avoid a premature return to dangerous activity for the knee with a rupture of the LCA. The other impact would be economical since it would avoid the realization of unnecessary MRI. On the other hand, it will allow patients with LCA rupture to have faster access to MRI. The hypothesis of the study is that a validated functional score would make it possible to sort the patients in the emergencies and to prescribe the MRI only in the cases of effective rupture of the LCA.
Status | Active, not recruiting |
Enrollment | 355 |
Est. completion date | August 29, 2021 |
Est. primary completion date | June 29, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 55 Years |
Eligibility | Inclusion Criteria: - Age of 18 to 55 years, - Knee trauma occurred less than 9 days prior to hospital emergency visit or medical consultation, - Absence of bone fractures on the standard radiographic assessment (face and profile), - Patient affiliated to a social security scheme (beneficiary or beneficiary), - Patient informed and confirmed his / her agreement to the study. Exclusion Criteria: - Severe knee trauma requiring immediate surgical management (fractures, dislocations) - Traumatic history (including sprain) on the same or other knee - Impossibility or refusal to do an MRI - Inability to understand information delivered - Patient's refusal - Patients can not be tracked for geographical reasons |
Country | Name | City | State |
---|---|---|---|
France | Pr François-Xavier GUNEPIN | Lorient |
Lead Sponsor | Collaborator |
---|---|
French Arthroscopic Society | Clinique les Maussins, Clinique Mutualiste de Lorient, Fondation Paul Bennetot |
France,
Ahldén M, Hoshino Y, Samuelsson K, Araujo P, Musahl V, Karlsson J. Dynamic knee laxity measurement devices. Knee Surg Sports Traumatol Arthrosc. 2012 Apr;20(4):621-32. doi: 10.1007/s00167-011-1848-7. Epub 2011 Dec 31. Review. — View Citation
Bollen SR, Scott BW. Rupture of the anterior cruciate ligament--a quiet epidemic? Injury. 1996 Jul;27(6):407-9. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Reference method or "gold standard" | MRI will be used to determine whether the LCA is broken. The direct signs of complete LCA rupture are based on its morphological study, signal and spatial orientation.
In the acute phase, haemarthrosis secondary to rupture appears as a T1-weighted hyposignal and a proton-density and T2 -weight hyper-signal. In the subacute phase, the proximal and distal stump retract and remain separated by a proton density and T2-weighted signaling area. AND / OR: Horizontalisation of the ACL, evaluated in relation to the plane of the tibial plateaus or the Blumensaat line, indicates the complete character of the ACL rupture with a sensitivity of 89% and a specificity of 100%. AND / OR: The "sign of the empty notch" to be sought in the frontal and axial planes is pathognomonic of the complete rupture of the LCA at its high insertion. It is the most frequent form of rupture |
Between 7 days and 2 months after the accident. | |
Secondary | Quantification of differential laxity with GNRB | The GNRB will be performed when the knee is indolent | Between 3 to 8 weeks after the accident | |
Secondary | Questionnaire of the score | This phase will quantify the weight of each item and sub-items of the questionnaire already conceived from a statistical analysis adapted and thus to give a value to each item then a maximum value to the score. | At a day of patient inclusion |
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT04905355 -
Virtual Reality on Patient Satisfaction in Ambulatory Orthopedic Surgery
|
N/A | |
Recruiting |
NCT05115955 -
PO Pain Management With Extended-release Dinalbuphine Sebacate in Patients Undergoing Arthroscopic Shoulder Surgery
|
Phase 4 | |
Active, not recruiting |
NCT01123447 -
Surgical Treatment Versus Non-surgical Treatment of Ulnar Fractures
|
N/A | |
Completed |
NCT00835653 -
Efficacy of Median Nerve Block Performed Using Echographic Guidance
|
N/A | |
Withdrawn |
NCT01221415 -
A Comparison of Ultrasound and Nerve Stimulator Techniques for Nerve Localization in Regional Anesthesia
|
||
Recruiting |
NCT05437796 -
Immersive Virtual Reality in Orthopedics
|
N/A | |
Not yet recruiting |
NCT03327337 -
Arthroscopic Assisted Balloon Tibioplasty for the Treatment of Schatzker II-IV Tibial Plateau Fractures
|
N/A | |
Enrolling by invitation |
NCT04398342 -
Characteristics of Children With Cerebral Palsy Who Develops Hip Displacement in Denmark
|
||
Not yet recruiting |
NCT04657952 -
Sphenopalatine Ganglion Block for Post-Dural Puncture Headache in Orthopedic Patients
|
Phase 4 | |
Recruiting |
NCT03701269 -
Long-term Surgical Outcomes of Scaphoid Proximal Pole Fracture Nonunion
|
||
Recruiting |
NCT04792359 -
Intra and Inter- Observer Reproducibility of Ankle Dorsiflexion Measure With a New Tool
|
N/A |