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Sponsored by: |
Hadassah Medical Organization |
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Information provided by: | Hadassah Medical Organization |
ClinicalTrials.gov Identifier: | NCT00274196 |
The purpose of this study is to measure the sensitivity and specificity of ultrasound exam of the hip in diagnosing occult hip fractures.
Condition | Intervention |
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Occult Fractures |
Procedure: ultrasound examination Procedure: MRI scan |
Study Type: | Interventional |
Study Design: | Diagnostic, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study |
Official Title: | A Prospective Study of the Specificity and Sensitivity of Ultrasound in Diagnosing Occult Hip Fractures |
Estimated Enrollment: | 30 |
Study Start Date: | February 2006 |
Estimated Study Completion Date: | June 2008 |
Introduction: Most hip fractures are diagnosed by history, physical examination and confirmed by plain radiographs. When initial X-rays are negative or equivocal, and there is a clinical suspicion of occult hip fracture, additional diagnostic tests are necessary such as MRI which is expensive and in many hospitals less available, or bone scan which needs to be delayed 48-72 hours from injury to be indicative. Ultrasound examination has been shown to be an accurate measurement to diagnose occult fractures in the ankle and is a relatively easy, available, non-expansive examination. We propose the use of bedside ultrasound examination of the hip as a screening tool for occult hip fractures. Objective: To measure the sensitivity and specificity of ultrasound exam of the hip in diagnosing or ruling out occult hip fractures. Materials and methods: We will include all patients 40 years and older with a painful hip after an injury, and with "normal" hip X-rays. Each patient will undergo two hip ultrasounds by two different examiners.
Afterwards, the patients will undergo MRI of the hip. The MRI will serve as the gold standard for treatment decisions. The results of the ultrasound will be compared to the MRI to evaluate its sensitivity and specificity.
Ages Eligible for Study: | 40 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Charles Milgrom, MD | 00 972 50 7874401 | charles.milgrom@ekmd.huji.ac.il |
Contact: Ori Safran, MD | 00 972 50 7874705 | oris@hadassah.org.il |
Israel | |
Hadassah Medical Organization | Recruiting |
Jerusalem, Israel | |
Contact: Arik Tzukert, DMD 00 972 2 6776095 arik@hadassah.org.il | |
Contact: Hadas Lemberg, PhD 00 972 2 6777572 | |
Principal Investigator: Ori Safran, MD | |
Principal Investigator: Charles Milgrom, MD |
Principal Investigator: | Ori Safran, MD | Hadassah Medical Organization |
Principal Investigator: | Charles Milgrom, MD | Hadassah Medical Organization |
Study ID Numbers: | 28-17.02.06-HMO-CTIL |
Study First Received: | January 9, 2006 |
Last Updated: | November 12, 2007 |
ClinicalTrials.gov Identifier: | NCT00274196 History of Changes |
Health Authority: | Israel: Israeli Health Ministry Pharmaceutical Administration |
fractures, occult hip ultrasound examination |
MRI sensitivity specificity |
Hip Fractures Femoral Fractures Fractures, Bone Wounds and Injuries |
Disorders of Environmental Origin Fractures, Closed Leg Injuries |
Hip Fractures Femoral Fractures Fractures, Bone Wounds and Injuries |
Disorders of Environmental Origin Fractures, Closed Leg Injuries Hip Injuries |