Comparative Study of Two Radiological Modalities, Ultrasonography Versus Stress Radiography, in the Urgent Care and Prognosis of Lateral Ankle Sprain (TALOS) - Full Text View

Sponsor:	University Hospital, Grenoble
Information provided by:	University Hospital, Grenoble
ClinicalTrials.gov Identifier:	NCT00639028

Purpose

The aim of our study is to determine the most efficient radiologic examination to assess the ankle sprain seriousness and so improve the therapeutic care.

Condition	Intervention
Lateral Ankle Sprain	Other: Ankle echography Other: Ankle echography + stress radiography Other: stress radiography

Study Type:	Interventional
Study Design:	Diagnostic, Randomized, Open Label, Uncontrolled, Parallel Assignment
Official Title:	Comparative Study of Two Radiological Modalities, Ultrasonography Versus Stress Radiography, in the Urgent Care and Prognosis of Lateral Ankle Sprains.

Resource links provided by NLM:

MedlinePlus related topics: Ultrasound X-Rays

Drug Information available for: X-Rays

U.S. FDA Resources

Further study details as provided by University Hospital, Grenoble:

Primary Outcome Measures:

Residual ankle instability evaluated using the Cumberland Ankle Instability Tool (CAIT) [ Time Frame: at one year ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Lower Extremity Functional Squale (LEFS) Score [ Time Frame: at one year ] [ Designated as safety issue: Yes ]
Lower Extremity Functional Squale (LEFS) Score [ Time Frame: at two years ] [ Designated as safety issue: Yes ]
Baecke Physical Activity Questionnaire Score [ Time Frame: at the clinical examination ] [ Designated as safety issue: No ]
Cumberland Ankle Instability Tool (CAIT) Score [ Time Frame: at two years ] [ Designated as safety issue: Yes ]
Number of lesions in the group echography/stress radiography versus in the group echography. [ Time Frame: at the clinical examination ] [ Designated as safety issue: Yes ]

Estimated Enrollment:	390
Study Start Date:	October 2007
Estimated Study Completion Date:	November 2010
Estimated Primary Completion Date:	September 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1 Ankle echography	Other: Ankle echography Ankle echography
2 echography + stress radiography	Other: Ankle echography + stress radiography Ankle echography + stress radiography
3 stress radiography	Other: stress radiography ankle stress radiography

Detailed Description:

The lateral ankle sprain is the most frequent purpose of consultation in emergency traumatology of the locomotive system.

If the ankle sprain is neglected or badly cared, it can induce a recurrence or several complications particularly functional ones. So a gravity diagnosis is necessary in order to choose the most accurate treatment.

Considering the difficulty of the clinical estimation, additional examinations aim to support the positive diagnosis, to clarify the gravity and to dismiss differential diagnosis.

Thus we suggest to evaluate three strategies in order to get a gravity diagnosis, make a better choice of treatment and so decrease the long-term functional complications : instability and recurrence.

The patients are randomly separated into three groups of 130 people. All the patients have a radiography and then, according to their group, they have either an ultrasonography or an ultrasonography and a stress radiography or only a stress radiography. The patients are followed up during two years by sending two questionnaires (CAIT and LEFS) at one and two years. The functional scores of these questionnaires assess and compare the functional complications for each group. Thus the radiologic examinations can be assessed in term of prognosis.

Eligibility

Ages Eligible for Study:	18 Years to 55 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Lateral ankle sprain.
Sprain occurred for less than 48 hours.
Age between 18 and 55.
Person affiliated at the Social Security.

Exclusion Criteria:

Recurrent lateral ankle sprain occurred for less than 2 years and diagnosed by a doctor.
Bilateral sprain, medio-tarsal sprain, syndesmosis sprain, subtalar sprain.
Tendinous luxation (fibular, posterior tibial).
Homolateral ankle fracture occurred for less than 2 years.
Cuboid fracture, external tubercle of astragalus fracture, calcaneum fracture, fracture of the talus extremity, base of the fifth metatarsal bone fracture.
Tearing of internal malleolus, tearing of astragalus posterior tubercle.
Osteochondral lesions of the astragalus dome.
Probable difficulty to follow up the patient.
Patient taking anticoagulant.
Pregnant woman, parturient, breast-feeding mother.
Person deprived of freedom after a judicial or an administrative decision, person with legal protection measure.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00639028

Contacts

Contact: Jean-Luc Cracowski, MD

0033476769260

JLCracowski@chu-grenoble.fr

Locations

France
Emergency department - University Hospital of Grenoble South	Recruiting
Grenoble, France, 38100
Contact: Jean-Jacques Banihachemi 0033476765423 JJBanihachemi@chu-grenoble.fr
Sub-Investigator: Christophe Chaussard
Sub-Investigator: Jean-Noël Ravey

Sponsors and Collaborators

University Hospital, Grenoble

Investigators

Principal Investigator:

Jean-Jacques Banihachemi

University Hospital, Grenoble

More Information

Publications:

Picard F, Tourné Y, Montbarbon E, Saragaglia D. [Ankle trauma. Diagnostic orientation] Rev Prat. 1995 Nov 15;45(18):2335-42. French. No abstract available.

Braun BL. Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation. Arch Fam Med. 1999 Mar-Apr;8(2):143-8.

Brasseur JL, Tardieu M. [Accurate use of imaging in ankle sprain] JBR-BTR. 1999 Apr;82(2):63-8. Review. French.

Raatikainen T, Putkonen M, Puranen J. Arthrography, clinical examination, and stress radiograph in the diagnosis of acute injury to the lateral ligaments of the ankle. Am J Sports Med. 1992 Jan-Feb;20(1):2-6.

Brasseur JL, Morvan G, Godoc B. [Dynamic ultrasonography] J Radiol. 2005 Dec;86(12 Pt 2):1904-10. Review. French.

Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006 Sep;87(9):1235-41.

Responsible Party:	Direction de la Recherche Clinique, CHU de Grenoble, 38043 Grenoble Cedex 09 ( M. Eric Svahn )
Study ID Numbers:	DCIC 07 02
Study First Received:	March 11, 2008
Last Updated:	September 2, 2009
ClinicalTrials.gov Identifier:	NCT00639028 History of Changes
Health Authority:	France: Afssaps - French Health Products Safety Agency

Keywords provided by University Hospital, Grenoble:

ankle
diagnosis
sprain
care

injury
stress radiography
ultrasonography

Additional relevant MeSH terms:

Wounds and Injuries
Disorders of Environmental Origin
Sprains and Strains

ClinicalTrials.gov processed this record on November 27, 2009