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Computerized Tomography to Help Diagnosis Pediatrics Scaphoid Fractures.

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified February 2006 by Lawson Health Research Institute.
Recruitment status was:  Not yet recruiting
Information provided by:
Lawson Health Research Institute Identifier:
First received: February 14, 2006
Last updated: NA
Last verified: February 2006
History: No changes posted
The purpose of this study is to find out whether computerized tomography will be better than plain radiographs in determining pediatrics scaphoid fractures.

Condition Intervention Phase
Scaphoid Bone
Device: Computerized tomography
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: The Efficiency of Computerized Tomography to Aid in the Diagnosis of Pediatrics Scaphoid Fractures

Resource links provided by NLM:

Further study details as provided by Lawson Health Research Institute:

Primary Outcome Measures:
  • Fracture diagnosis

Estimated Enrollment: 73
Study Start Date: February 2006
Estimated Study Completion Date: January 2007
Detailed Description:

Background: The use of plain radiograph in the detection of pediatrics scaphoid fractures has low specificity and sensitivity. Patients with documented anatomical snuffbox tenderness and negative plain radiographs are casted in thumb spica casts and seen by a pediatrics orthopedics surgeon. However few patients with clinical scaphoid fractures have documented scaphoid fractures, with the most common injury of soft tissue injury to the surrounding tissues. The use of CT scan to detect scaphoid fractures is not well documented and may be an appropriate substitute for plain radiographs.

Hypothesis: CT scan of the wrist will have higher sensitivity and specificity in detecting pediatrics scaphoid fracture than plain radiographs.


Ages Eligible for Study:   6 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Pain in anatomical snuffbox, Negative radiographs, less than 18 years old, older than 6 years old, injury less than 1 week old and provision of informed consent

Exclusion Criteria:

  • Previous injury to scaphoid bone, other injuries on the same extremity, vascular injury present at the injury site, fracture seen on initial radiographs, injury >1 week old, inability for patient to comply with rehabilitation or form completion, likely problems in maintaining patient follow-up
  Contacts and Locations
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Please refer to this study by its identifier: NCT00292006

Contact: Tim P Carey 519 685 8021
Contact: Kellie K Leitch 519 685 8021

Canada, Ontario
London Health Sciences Center Victoria Hospital Not yet recruiting
London, Ontario, Canada, N6A 5W9
Contact: Timothy P Carey, MD FRCSC    519 685 8021   
Sub-Investigator: Gladys Chan, MD         
Sub-Investigator: Kellie K Leitch, MD FRCSC         
Sub-Investigator: Gary Joubert, MD FRCSC         
Sub-Investigator: Jamie Seabrook, MA         
Sponsors and Collaborators
Lawson Health Research Institute
Study Chair: Tim P Carey, MD, FRCSC University of Western Ontario, Canada
  More Information

Publications: Identifier: NCT00292006     History of Changes
Other Study ID Numbers: 11955
Study First Received: February 14, 2006
Last Updated: February 14, 2006

Keywords provided by Lawson Health Research Institute:
clinical scaphoid fracture

Additional relevant MeSH terms:
Fractures, Bone
Wounds and Injuries processed this record on April 26, 2017