Clinical trial Recruiting at 3 sites Interventional Ages 18 and up

Early care pathway for knee sprains using automated dynamic laximetry

Official title: NPS-LDA - New Care Pathway Using Automated Dynamic Laximetry

Run by University Hospital, Angers · NCT07028476 · Data updated 2026-11-12

This test tries using automated dynamic laximetry (ADL) right after an ER visit instead of immediate MRI to diagnose suspected ACL tears in adults with knee sprain.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment80 (estimated)
SponsorUniversity Hospital, Angers
Government
Locations3 sites (Angers and 2 other locations)
StatusRecruiting
StartedMarch 10, 2026
Main results expectedMarch 2027
Study endsMarch 2028
Registry record updatedJune 18, 2026
Trial IDNCT07028476 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) admitted to a participating emergency department after knee trauma with clinical suspicion of partial or complete ACL lesion without fracture, able to consent and attend sports-medicine follow-up, are ideal candidates.

Probably not a fit

Patients who need emergency or semi-emergency surgery, who have contraindications to MRI or ADL, who cannot follow up at the investigating center, or who are pregnant or under legal/psychiatric restrictions are unlikely to benefit from this pathway.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The study implements a care pathway in which ADL is performed immediately after emergency department presentation for suspected cruciate ligament injury, with MRI reserved for selected cases such as surgical planning or unclear results. Participants are adults presenting after knee trauma without radiographic fracture and who can follow up at the investigating center. The trial compares diagnostic timing, immobilization duration, and downstream use of MRI under the ADL-first pathway versus the conventional MRI-based pathway. Outcomes include diagnostic confirmation time, resource use, and potential reductions in immobilization and care costs.

Why it matters

Potential benefit: If successful, this approach could shorten the time to diagnosis, reduce immobilization duration, and lower costs by limiting MRI to cases that truly need it.

How similar studies have gone: Previous studies have shown ADL performs similarly to MRI as a complementary exam for diagnosing knee sprains, but applying ADL as the first-line care-pathway is a newer approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patient admitted to an emergency department participating in the study
* Age ≥ 18 years
* Consulted following knee trauma and whose clinical examination leads to the suspicion of a partial or complete ACL lesion without bone fracture (supporting radiograph).
* Signed consent to participate in the study
* Affiliated to a social security scheme

Exclusion Criteria:

* Contraindication to MRI (pacemaker fitted before 2010) or LDA;
* Indication for emergency or semi-emergency trauma surgery (within 3 weeks: suspected unstable meniscal lesion, fracture, etc.).
* Impossible follow-up or patient's refusal of follow-up in the investigating center's sports medicine department;
* Poor understanding of the French language
* Pregnant (known or suspected pregnancy), breast-feeding or parturient woman;
* Person deprived of liberty by judicial or administrative decision;
* Person under compulsory psychiatric care;
* Person subject to a legal protection measure
* Person unable to give consent

Where it's running

  • Chu Angers
    Angers, France
    Recruiting
  • Ch Laval
    Laval, France
    Recruiting
  • Chu Nantes
    Nantes, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.