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Point-of-Care Ultrasonography for Pediatric Ankle Fracture Detection
Sponsor: Kanuni Sultan Suleyman Training and Research Hospital
Summary
This prospective observational study evaluated the diagnostic accuracy of point-of-care ultrasonography (POCUS) for detecting ankle fractures in children presenting to the emergency department with acute isolated ankle trauma. Children aged 5-17 years who met at least one Ottawa Ankle Rule criterion were included. The primary objective was to determine how accurately bedside POCUS identifies pediatric ankle fractures compared with a predefined reference standard. The study also evaluated whether the presence of open growth plates influenced ultrasound interpretation.
Official title: Point-of-Care Ultrasonography for Pediatric Ankle Fracture Detection: High Sensitivity But Reduced Specificity Around Open Physes
Key Details
Gender
All
Age Range
5 Years - 17 Years
Study Type
OBSERVATIONAL
Enrollment
74
Start Date
2024-07-01
Completion Date
2025-07-01
Last Updated
2026-10-13
Healthy Volunteers
No
Conditions
Interventions
Point-of-Care Ultrasonography (POCUS)
Bedside point-of-care ultrasonography (POCUS) of the injured ankle was performed before conventional radiography using a high-frequency linear transducer (5-15 MHz). The distal tibia, distal fibula, talus, calcaneus, and navicular were systematically evaluated in longitudinal and transverse planes, with particular attention to the region of maximal tenderness. POCUS was classified as positive when cortical discontinuity, step-off, or focal cortical irregularity compatible with fracture was identified and as negative when these findings were absent.
Locations (1)
University of Health Sciences, Istanbul Kanuni Sultan Suleyman Training and Research Hospital
Istanbul, Küçükçekmece, Turkey (Türkiye)