Ankle Trauma
Conditions
Keywords
ankle, diagnostic, ankle's ultrasound, traumatic lesion
Brief summary
Evaluate ankle's ultrasound contribution in the accuracy of ankle's diagnosis of traumatic injuries (objectivated by reference's examination : ankle's MRI)
Interventions
RADIATIONankle ultrasound
Ankle ultrasound performed during emergencies visit.
RADIATIONMember MRI
Member MRI (without injection of contrast product) performed within 7 days following the trauma
Sponsors
University Hospital, Lille
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Age ≥ 5 years and \< 18 years * Isolated's trauma from one or both ankles * First-line consultation for pediatrics emergencies at the University Hospital of Lille * Informed and written consent of the holders of parental authority
Exclusion criteria
* Age \< 5 years and ≥ 18 years * History of trauma of the same ankle dating from less than 3 month * History of surgery of this same ankle * Constitutional or acquired bone disease * Associated trauma affecting another anatomical region than the ankle or midfoot * Polytrauma (presence of several traumas including at least one endangers vital functions) * Associated wound requiring surgical exploration * initial management of this trauma in another center * Non affiliation to a social security scheme
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic performance rate of anatomical lesions of the ankle of ultrasound | Baseline (inclusion) | Sensitivity of ankle ultrasound compared to MRI, considered as a gold standard, in the diagnosis of traumatic ankle injuries |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic performance rate of anatomical lesions | Baseline (inclusion) and at visit 2 (within 7 days after the baseline) | Specificity, predictive values (positive and negative) and likelihood ratios (positive and negative) of ultrasound versus MRI |
| The use of Ottawa decision rule | baseline (inclusion) | the place of Ottawa criteria and ultrasound in the decision algorithm to limit standard radiographs (and thus irradiation). The Ottawa Ankle Rule was derived to aid in the efficient use of radiography in acute ankle and midfoot injuries. |
| orthopedic rehabilitation quality at 3 weeks according to the Oxford score. | at 3 weeks (control visit) | The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) is used to measure subjective well-being for child patients (aged 5-16) affected by foot and ankle conditions using issues that are considered important to children. The OxAFQ-C has 15 items, 14 of which are used to calculate domain scores: Physical (6 items); School and Play (4 items) Emotional (4 items) |
Countries
France
Outcome results
None listed