Clinical Research Directory

EASY Algorithm Trial (Elbow Trauma Assessment Using Sonography in Children and Youth) Diagnostic Accuracy and Safety of Point-of-care Ultrasound as a Screening Tool for Suspected Elbow Fractures in Children Aged 5 to 15 Years: a Multicenter Prospective Cohort Study

The goal of this observational study is to learn about the safety and accuracy of ultrasound as a screening tool to detect broken bones (fractures) in the elbow area in children and youth aged 5 to 15 years. The main question it aims to answer is: \- Can ultrasound reliably show that there is a fracture in the elbow area after an accident? Participants will: * Have an ultrasound of their elbow to look for fluid in the joint. * Have standard X-rays of their elbow to check if there is a fracture. * Have their medical records checked and answer a phone call 6 weeks later to see how their elbow has healed (only if no fracture was found during the first visit).

Evaluation of Diaphragmatic Function After Interscalene Block With Liposomal Bupivacaine

The study aims to evaluation the effects of Liposomal Bupivacaine on diaphragmatic function in patients undergoing upper limb surgery who receive Interscalene Brachial Plexus Block. A total of 120 eligible patients will be enrolled and divided into two groups: Group A will receive 20ml of 0.5% Hydrochloride Bupivacaine , while Group B will receive 10ml of 0.5% Hydrochloride Bupivacaine plus 10ml of Liposomal Bupivacaine. Assessments of diaphragmatic function, pulmonary function, and pain intensity will be performed before the block and at different time points after the block, with follow-up for adverse events. The study is scheduled to run from September 2025 to September 2026, with strict adherence to privacy protection and ethical guidelines.

Arthroscopic Assisted Distal Radius Fracture Fixation

Distal radius fractures (DRF) are among the most common orthopedic injuries, both in young adults and in elderly patients.(1,2,4،7 ) Effective management of these fractures is crucial to restoring wrist function, ensuring stability, and minimizing complications. (2)Traditional open reduction and internal fixation (ORIF) remains the cornerstone of treatment. (3)However, minimally invasive techniques are increasingly gaining attention for their ability to improve outcomes while reducing complications.(5, 8) Wrist arthroscopy has emerged as a valuable tool in the management of DRF. It allows for direct visualization of intra-articular fractures, assessment of associated soft tissue injuries, and precise reduction of fracture fragments. Additionally, it facilitates the identification and management of concomitant injuries, such as triangular fibrocartilage complex (TFCC) tears or ligament injuries, which are frequently overlooked in traditional techniques. (6, 9 ،10) Despite these advantages, the use of wrist arthroscopy in DRF management remains underutilized in many regions. In Assiut University Hospital, there is a growing interest in incorporating advanced techniques, including wrist arthroscopy, into the management of orthopedic injuries. However, there is limited local data on the outcomes and feasibility of this approach in the treatment of DRF. This case series aims to evaluate the clinical and functional outcomes of DRF management using wrist arthroscopy, providing insight into its effectiveness, safety, and applicability in a tertiary care setting. By documenting the experiences and outcomes of patients treated with this innovative technique, this study seeks to contribute to the existing literature and guide the future adoption of arthroscopy-assisted methods in DRF management in the region. -The aim of this study is to evaluate the clinical and functional outcomes of managing distal radius fractures assisted by wrist arthroscopy at Assiut University Hospital using Mayo wrist score, with a focus on its effectiveness, safety, and feasibility in improving fracture reduction, identifying associated injuries, and enhancing patient recovery.