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CompletedNCT04860479Updated Feb 20, 2024

Evaluation of a Femoralis, n Femoralis and m Iliopsoas Tendon Sonoanatomy According to Age Groups in Children

An observational study in Anatomic Abnormality, Anatomy and Pediatrics, sponsored by Derince Training and Research Hospital. Completed at 1 site in Turkey. Open to participants aged 28 Days to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-02-20.

Sponsored by Derince Training and Research Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
28 Days to 18 Years
Sex
All
01

Study summary

This study aims to examine the sonoanatomy of the inguinal region in children according to age groups.

Read the detailed description

Regional anesthesia is frequently used in adults and children as part of multimodal analgesia or as a direct anesthesia method. Nowadays, these regional blocks can be applied more safely with the widespread use of ultrasound in daily clinical practice. Also, by identifying individual variations with ultrasound, the risk of block failure and possible complications has been minimized. Femoral nerve block and pericapsular nerve group block are now almost the first techniques used in hip and lower extremity surgeries or different indications. (1) Besides, these methods have become more advantageous in many aspects compared to spinal anesthesia in high-risk patients. However, to apply safe and successful regional anesthesia, both gross anatomy and sonoanatomy of the relevant region must be known well.

There are sufficient clinical and anatomical studies on these anesthesia methods applied in the inguinal region in adults, and there is no anatomical and anthropometric study in children. (2,3) However, well-known anatomic reference points for performing these blocks in adults may be different in children. (4) Therefore, with this study, we planned to develop appropriate anatomic reference points for these blocks in children by evaluating the relationship between sonography and inguinal region structures (such as distance, diameter measurement) in children's age groups.

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Conditions studied

  • Anatomic Abnormality
  • Anatomy
  • Pediatrics
  • Anatomic Landmarks
  • Anthropometry

Keywords

  • sonoanatomy
  • pediatrics
  • inguinal region
  • variation
  • anatomy
  • PENG
  • femoral nerve
  • regional anesthesia
  • femoral artery
03

In context

Congenital Abnormalities

980 studies on the registry are indexed under Congenital Abnormalities; 177 are open to participants now.

This study's enrollment of 150 is close to the median of 153 across 446 observational studies indexed under Congenital Abnormalities.

Browse Congenital Abnormalities studies →

Lead sponsor

Derince Training and Research Hospital is the lead sponsor of 39 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
28 Days to 18 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

All pediatric patients within the predetermined age group

Inclusion criteria

  • All pediatric patients

Exclusion criteria

Exclusion Criteria:

  • a previous surgical history to the related area
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
150 participants (actual)
Patient registry
No

Groups and cohorts

  • Infants: 28 days - 12 month

    inguinal sonoanatomy

    Device: ultrasound

  • small children: 13 months - 36 months

    inguinal sonoanatomy

    Device: ultrasound

  • preschool age: 37 months - 72 months

    inguinal sonoanatomy

    Device: ultrasound

  • school age: 73 months - 9 years

    inguinal sonoanatomy

    Device: ultrasound

  • Preadolescant: >9 years - 12 years

    inguinal sonoanatomy

    Device: ultrasound

  • Adolescants: >12 years - 18 years

    inguinal sonoanatomy

    Device: ultrasound

Interventions

  • Deviceultrasound

    ultrasonography to inguinal region

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What researchers measure

Primary outcomes

  1. femoral artery and femoral nerve distance (mm)

    ultrasonographic measurements

    Time frame: 1 hour

  2. Body weight (gr)

    measured at ward

    Time frame: 1 hour

  3. height (cm)

    measured at ward

    Time frame: 1 hour

07

Study locations

1 site
  • Bursa Yuksek Ihtisas Training and Research Hospital
    Bursa, Yıldırım 16310, Turkey
08

References and documents

Publications

  • Giron-Arango L, Peng PWH, Chin KJ, Brull R, Perlas A. Pericapsular Nerve Group (PENG) Block for Hip Fracture. Reg Anesth Pain Med. 2018 Nov;43(8):859-863. doi: 10.1097/AAP.0000000000000847. PubMed 30063657 ↗
  • Orozco S, Munoz D, Jaramillo S, Herrera AM. Pediatric use of Pericapsular Nerve Group (PENG) block for hip surgical procedures. J Clin Anesth. 2019 Nov;57:143-144. doi: 10.1016/j.jclinane.2019.04.010. Epub 2019 Apr 22. No abstract available. PubMed 31022606 ↗
  • Frkovic V, Warmlander SK, Petaros A, Spanjol-Pandelo I, Azman J. Finger width as a measure of femoral block puncture site: an ultrasonographic anatomical-anthropometric study. J Clin Anesth. 2015 Nov;27(7):553-7. doi: 10.1016/j.jclinane.2015.07.015. Epub 2015 Aug 31. PubMed 26337562 ↗
  • Vloka JD, Hadzic A, Drobnik L, Ernest A, Reiss W, Thys DM. Anatomical landmarks for femoral nerve block: a comparison of four needle insertion sites. Anesth Analg. 1999 Dec;89(6):1467-70. doi: 10.1097/00000539-199912000-00028. PubMed 10589630 ↗
  • Yoshimura M, Nakanishi T, Sakamoto S, Toriumi T. Age is a predictive factor in the femoral nerve positioning: an anatomical ultrasound study. J Anesth. 2018 Oct;32(5):777-780. doi: 10.1007/s00540-018-2544-2. Epub 2018 Aug 21. PubMed 30132074 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04860479
Lead sponsor
Derince Training and Research Hospital
Collaborators
Kocaeli University
Responsible party
Hande Gurbuz (Medical Doctor, Associate Professor, Principal Investigator, Bursa Yüksek İhtisas Education and Research Hospital) — Principal investigator
First posted
Apr 27, 2021
Start date
Apr 26, 2021
Primary completion
Jan 1, 2024
Completion
Jan 25, 2024
Last update
Feb 20, 2024

Study contacts

Hande Gurbuz, Assoc. Prof.
principal investigator · Bursa Yuksek Ihtisas Training and Research Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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