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Use of Ultrasound to Evaluate Clavicle Fractures in Pediatric Patients

This study has been completed.
Information provided by (Responsible Party):
Keith Cross, University of Louisville Identifier:
First received: March 28, 2008
Last updated: March 29, 2017
Last verified: March 2017
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.


Study Type: Observational
Study Design: Observational Model: Other
Time Perspective: Prospective
Official Title: Utility of Bedside Ultrasound to Diagnose Clavicle Fractures in the Pediatric Emergency Department

Resource links provided by NLM:

Further study details as provided by Keith Cross, University of Louisville:

Primary Outcome Measures:
  • Comparison of a blinded reviewer's interpretation of bedside US images to an attending radiologist's interpretation of radiographs [ Time Frame: Single visit to emergency department ]

Secondary Outcome Measures:
  • Unblinded real-time bedside US by the ED physician vs. radiographs [ Time Frame: Single ED visit ]
  • Interoperator reliability between the blinded reviewer and bedside ED physician [ Time Frame: Single ED visit ]
  • FACES pain score for pain for US vs. radiographs for children ≥ 5 yrs [ Time Frame: Single ED visit ]

Enrollment: 100
Study Start Date: March 2008
Study Completion Date: September 2009
Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)

Ages Eligible for Study:   1 Year to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Children age 1-18 years presenting to a tertiary center pediatric emergency department complaining of recent traumatic shoulder injury.

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)
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00652548

United States, Kentucky
Kosair Children's Hospital
Louisville, Kentucky, United States, 40202
Sponsors and Collaborators
University of Louisville
Principal Investigator: Keith P Cross, MD University of Louisville
  More Information

Responsible Party: Keith Cross, Assistant Professor, University of Louisville Identifier: NCT00652548     History of Changes
Other Study ID Numbers: 08-0007
IRB #08-0007
NHRO #1310
Study First Received: March 28, 2008
Last Updated: March 29, 2017

Keywords provided by Keith Cross, University of Louisville:

Additional relevant MeSH terms:
Fractures, Bone
Wounds and Injuries processed this record on August 22, 2017