Use of Ultrasound to Evaluate Clavicle Fractures in Pediatric Patients

University of Louisville100 enrolled

Overview

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

Enrollment

100

Conditions

Fractures

Eligibility

Sex: ALLMin age: 1 YearMax age: 18 Years

Medical Language ↔ Plain English

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)

Locations (1)

Kosair Children's Hospital

Louisville, Kentucky, United States

Outcomes

Primary Outcomes

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 Outcomes

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

Data from ClinicalTrials.gov

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