RecruitingNot ApplicableNCT07212036

The Utilization of Ultrasound to Diagnose Pediatric Elbow Fractures

The Utilization of Ultrasound to Diagnose Pediatric Elbow Fractures: Evaluation of Cost Savings, Radiation Exposure, and Patient Satisfaction


Sponsor

Nemours Children's Clinic

Enrollment

225 participants

Start Date

Jul 22, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this intervention trial is to learn if a ultrasound diagnosis of elbow fractures can improve care in pediatric patients seen in the emergency room. The main questions it aims to answer are: The primary outcomes measured are cost of the emergency visit, radiation exposure, time spent in the emergency department and patient satisfaction. Patients who are evaluated with ultrasounds of the elbow will be compared to patients who have x-rays of the elbow. Participants will be assigned either to the ultrasound group or x-rays group when they present with elbow pain.


Eligibility

Max Age: 18 Years

Inclusion Criteria1

  • Pediatric patient with elbow pain

Exclusion Criteria11

  • Polytrauma (more than one injury)
  • Deformity of the arm including the elbow
  • Pain in any other location than the elbow
  • Pain in other parts of the same limb including the, wrist, forearm, shoulder, hand
  • Pain in other limbs,
  • Puckering of the skin (skin indentation)
  • Obvious fracture
  • Open wound at or around the elbow
  • Pain and swelling without trauma
  • Concerns for tumor or infection
  • Suspected nursemaid's elbow

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Interventions

DIAGNOSTIC_TESTUltrasound of the elbow

An ultrasound of the elbow obtained of pediatric patients with elbow pain

DIAGNOSTIC_TESTX-ray of elbow

An x-ray of the elbow obtained of pediatric patients with elbow pain


Locations(1)

Nemours Children's Hospital

Orlando, Florida, United States

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NCT07212036


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