Fractures in Children
Conditions
Brief summary
This is a multicenter combined diagnostic accuracy study and observational prospective cohort. Part one aims to confirm non-inferiority of POCUS for the detection of distal forearm fractures compared to X-ray. Part two aims to confirm non-inforiority of POCUS compared to x-ray for the detection of potentially unstable forearm fractures needing follow up imaging.
Interventions
DIAGNOSTIC_TESTPOCUS
Ultrasound screening of the distal forearm.
Sponsors
Luzerner Kantonsspital
Insel Gruppe AG, University Hospital Bern
University Hospital, Geneva
La Tour Hospital
Hôpital Fribourgeois
University Children's Hospital Basel
David Troxler
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* Patients presenting to the emergency room of a study hospital with an acute trauma to the wrist and suspected fracture of the wrist consulted by a trained study examiner. * Age 0-18 years Depending on the result
Exclusion criteria
* Patient needing immediate medical attention (triage score 1 or 2) as well as severely displaced or open fractures or neurovascular compromise distally to the suspected fracture. * Patient with imaging studies obtained prior to the emergency room visit * Patient with prior fracture of the affected wrist within the last 24 months * Patient refusing participation / missing informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fracture yes/no as final diagnosis | at 4 weeks from inclusion |
| Possible unstable fracture as final diagnosis | 4 weeks from inclusion |
Countries
Switzerland
Outcome results
None listed