Evaluation of the Benefits of Ultrasound in Improving the Diagnosis and Management of Injuries the Child's Ankle (ANKLE)
Evaluation of the Benefits of Ultrasound in Improving the Diagnosis and Management of the Child's Traumatic Ankle Injuries
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: François Dubos, MD
- Email: francois.dubos@chru-lille.fr
Study Locations
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-
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Lille, France
- Unité de pédiatrie Générale, Urgences et Maladies Infectieuses, Pôle de l'Urgence, Hôpital Roger Salengro
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 5 years and < 18 years
- Isolated's trauma from one or both ankles
- First-line consultation for pediatrics emergencies at the University Hospital of Lille
- Informed and written consent of the holders of parental authority
Exclusion Criteria:
- Age < 5 years and ≥ 18 years
- History of trauma of the same ankle dating from less than 3 month
- History of surgery of this same ankle
- Constitutional or acquired bone disease
- Associated trauma affecting another anatomical region than the ankle or midfoot
- Polytrauma (presence of several traumas including at least one endangers vital functions)
- Associated wound requiring surgical exploration
- initial management of this trauma in another center
- Non affiliation to a social security scheme
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Ankle ultrasound & ankle MRI
Ankle ultrasound performed on the day of emergency consultation member MRI (without injection of contrast products) performed within 7 days following the trauma
|
Ankle ultrasound performed during emergencies visit.
Member MRI (without injection of contrast product) performed within 7 days following the trauma
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Diagnostic performance rate of anatomical lesions of the ankle of ultrasound
Time Frame: Baseline (inclusion)
|
Sensitivity of ankle ultrasound compared to MRI, considered as a gold standard, in the diagnosis of traumatic ankle injuries
|
Baseline (inclusion)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Diagnostic performance rate of anatomical lesions
Time Frame: Baseline (inclusion) and at visit 2 (within 7 days after the baseline)
|
Specificity, predictive values (positive and negative) and likelihood ratios (positive and negative) of ultrasound versus MRI
|
Baseline (inclusion) and at visit 2 (within 7 days after the baseline)
|
|
The use of Ottawa decision rule
Time Frame: baseline (inclusion)
|
the place of Ottawa criteria and ultrasound in the decision algorithm to limit standard radiographs (and thus irradiation). The Ottawa Ankle Rule was derived to aid in the efficient use of radiography in acute ankle and midfoot injuries. |
baseline (inclusion)
|
|
orthopedic rehabilitation quality at 3 weeks according to the Oxford score.
Time Frame: at 3 weeks (control visit)
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The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) is used to measure subjective well-being for child patients (aged 5-16) affected by foot and ankle conditions using issues that are considered important to children. The OxAFQ-C has 15 items, 14 of which are used to calculate domain scores: Physical (6 items); School and Play (4 items) Emotional (4 items) |
at 3 weeks (control visit)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: François Dubos, MD, University Hospital, Lille
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2014_35
- 2015-A01127-42 (Other Identifier: ID-RCB number, ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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