Use of Ultrasound to Evaluate Clavicle Fractures in Pediatric Patients

University of Louisville (UOFL)

Status: Completed

Conditions: Fractures

Study type: Observational

Funder types: Other

Identifiers

NCT00652548

IRB #08-0007

08-0007

NHRO #1310

Details and patient eligibility

About

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.

Enrollment: 100 patients

Sex: All

Ages: 1 to 18 years old

Volunteers: No Healthy Volunteers

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)