EASY Algorithm: Bedside ultrasound to screen children aged 5 to 15 for elbow fractures
Official title: 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 by the German Section for Pediatric Traumatology (SKT)
Run by Charite University, Berlin, Germany · NCT07429344 · Data updated 2026-11-12
This project will test whether a quick bedside ultrasound can reliably show or rule out elbow fractures in children aged 5 to 15 after an injury.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 5 Years to 15 Years |
| Sex | All |
| Enrollment | 543 (estimated) |
| Sponsor | Charite University, Berlin, Germany Academic / other |
| Locations | 13 sites (Amberg and 12 other locations) |
| Status | Recruiting |
| Started | March 2, 2026 |
| Main results expected | November 1, 2026 |
| Study ends | January 15, 2027 |
| Registry record updated | April 8, 2026 |
| Trial ID | NCT07429344 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children and adolescents aged 5 to 15 who present within 72 hours after an isolated elbow injury and whose clinical exam warrants fracture exclusion are ideal candidates.
✕Probably not a fit
Children with polytrauma, visible deformity, open fractures, compromised circulation or neurologic status, presentation more than 72 hours after injury, or whose parents lack sufficient German language skills are unlikely to benefit from the ultrasound screening in this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a multicenter prospective cohort study across German hospitals that compares point-of-care (bedside) ultrasound to standard X-rays for children with recent elbow injuries. Clinicians will use ultrasound to look for joint fluid or other signs suggesting an elbow fracture, and all participants will receive standard elbow X‑rays as the reference test. Medical records will be reviewed and children without fractures at the visit will receive a 6‑week follow-up call to check healing and safety. The aim is to determine how accurately and safely ultrasound can be used as a screening tool to reduce unnecessary X‑rays and speed up care.
Why it matters
Potential benefit: If successful, this approach could allow quicker, radiation-free screening to rule out many elbow fractures in children.
How similar studies have gone: Several single-center studies and small pediatric series have shown promising accuracy for point-of-care ultrasound in detecting long-bone and elbow fractures, but larger multicenter prospective data remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * children and adolescents aged 5-15 years with anamnestic and clinically justified need for the exclusion of a fracture after elbow trauma Exclusion Criteria: * elbow trauma as part of a polytrauma, * parents' insufficient German language skills (spoken or written), * trauma more than 72 hours ago, * presentation at the emergency room with current, post-traumatic external X-ray images of the affected elbow joint from another clinic or practice, * open fracture of the affected elbow joint, * skin avulsion of the affected elbow joint, * visible deformity of the affected elbow joint, * and pathological status of peripheral circulation, motor function, and/or sensitivity.
Where it's running
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Vivantes Klinikum Neukölln
Berlin, Germany Recruiting -
Charité - Universitätsmedizin Berlin
Berlin, Germany Recruiting -
Klinikum St. Marien Amberg
Amberg, Germany Not yet recruiting -
Helios Klinikum Berlin-Buch
Berlin, Germany Not yet recruiting -
Klinikum Chemnitz
Chemnitz, Germany Not yet recruiting -
Universitätsklinikum Carl Gustav Carus Dresden
Dresden, Germany Not yet recruiting
Show 7 more locations
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BG Klinikum Duisburg
Duisburg, Germany Not yet recruiting -
Universitätsklinikum Freiburg
Freiburg im Breisgau, Germany Not yet recruiting -
Universitätsklinikum Hamburg-Eppendorf
Hamburg, Germany Not yet recruiting -
Klinikum Kassel
Kassel, Germany Not yet recruiting -
Universitätsklinikum Schleswig-Holstein Campus Lübeck
Lübeck, Germany Not yet recruiting -
Klinikum Stuttgart
Stuttgart, Germany Not yet recruiting -
Universitätsklinikum Tübingen
Tübingen, Germany Not yet recruiting
Study contacts
- Study coordinator: Timo Munz, Dr. med.
- Email: timo.munz@charite.de
- Phone: 0049-30-450666875
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.