Fractures
Conditions
Keywords
Clavicle, Fracture, Ultrasound, Radiation
Brief summary
This studies investigates the hypothesis that bedside ultrasound is as accurate as plain x-rays for diagnosing clavicle fractures in children in a pediatric emergency department. Children with shoulder injuries are enrolled and receive both an ultrasound imaging (experimental) and x-rays (standard-of-care) to see if ultrasound has the same (or better)accuracy, with less cost, time, and radiation.
Interventions
None listed
Sponsors
University of Louisville
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Age 1-18 years * Pain from recent shoulder/clavicle injury * Intact neurovascular exam * Radiographs performed as part of normal ED evaluation
Exclusion criteria
* Hemodynamic instability * Multisystem trauma * Altered mental status * Open wounds to injured shoulder * Developmental delay * Prior radiographs at another clinic/hospital for this injury * Previous clavicle fracture on the affected side * Ultrasound gel allergy * Non-English-speaking parents/child (unable to give informed consent)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of a blinded reviewer's interpretation of bedside US images to an attending radiologist's interpretation of radiographs | Single visit to emergency department |
Secondary
| Measure | Time frame |
|---|---|
| Unblinded real-time bedside US by the ED physician vs. radiographs | Single ED visit |
| Interoperator reliability between the blinded reviewer and bedside ED physician | Single ED visit |
| FACES pain score for pain for US vs. radiographs for children ≥ 5 yrs | Single ED visit |
Countries
United States
Outcome results
None listed