Computerized Tomography to Help Diagnosis Pediatrics Scaphoid Fractures.
Recruitment status was Not yet recruiting
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Purpose
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 Fracture |
Device: Computerized tomography |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study 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 |
- Fracture diagnosis
| Estimated Enrollment: | 73 |
| Study Start Date: | February 2006 |
| Estimated Study Completion Date: | January 2007 |
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.
Eligibility| Ages Eligible for Study: | 6 Years to 18 Years |
| Genders Eligible for Study: | Both |
| 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| Contact: Tim P Carey | 519 685 8021 | Timothy.Carey@lhsc.on.ca |
| Contact: Kellie K Leitch | 519 685 8021 | Kellie.Leitch@lhsc.on.ca |
| 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 Timothy.Carey@lhsc.on.ca | |
| Sub-Investigator: Gladys Chan, MD | |
| Sub-Investigator: Kellie K Leitch, MD FRCSC | |
| Sub-Investigator: Gary Joubert, MD FRCSC | |
| Sub-Investigator: Jamie Seabrook, MA | |
| Study Chair: | Tim P Carey, MD, FRCSC | University of Western Ontario, Canada |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00292006 History of Changes |
| Other Study ID Numbers: | 11955 |
| Study First Received: | February 14, 2006 |
| Last Updated: | February 14, 2006 |
| Health Authority: | Canada: Ethics Review Committee |
Keywords provided by Lawson Health Research Institute:
|
clinical scaphoid fracture pediatric |
Additional relevant MeSH terms:
|
Fractures, Bone Wounds and Injuries |
ClinicalTrials.gov processed this record on May 21, 2013