An observational study in Reliability in the Detection of ACL Injuries in Emergency Departments, sponsored by University Hospital, Rouen. Completed at 3 sites in France. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2025-05-13.
Sponsored by University Hospital, Rouen · Observational
A screening score for ACL (anterior cruciate ligament) injuries based on questioning has been developed by the Société Francophone d'Arthroscopie to provide better guidance for post-trauma patients. The score differentiates between 3 groups of patients: mild trauma (score 1 to 4), intermediate trauma (score 5 to 7) and severe trauma (score 8 to 12).
The main hypothesis of this study is that it is a reliable score for detecting ACL injuries in emergency departments.
Injury to the anterior cruciate ligament is a serious and not uncommon event, which can affect the functional future of the knee. The result is instability, leading to meniscal and osteo-cartilaginous damage in the medium and long term. Early diagnosis would limit the occurrence of these complications.
The average annual incidence of ACL rupture in the French population is estimated at around population can be estimated at around 0.03%, or approximately 20,000 cases per year. Diagnosis is currently based on clinical examination and dynamic ligament testing. However, these may be difficult to perform in the immediate post-trauma period, leading to a delay in diagnosis. Magnetic resonance imaging (MRI) is a good diagnostic tool, with a sensitivity of 83-95% and a specificity of 95-100%. However, access to MRI is still limited in emergencies, with an average appointment time (all indications combined) of 32.3 days. It is therefore to better target the indications for this examination.
The Société Francophone d'Arthroscopie has developed a screening score for ACL lesions, based on questioning, to help guide post-trauma patients.
University Hospital, Rouen is the lead sponsor of 417 studies on the registry; 106 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Patient with a rupture of the anterior cruciate ligament (ACL) diagnosed during a follow-up visit to the emergency department (diagnosed on clinical examination and/or MRI) and with a score ≥ 8.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Testing the external validity of the SFA score for the detection of in adult emergency departments
External validity of the SFA score
Testing the external validity of the SFA score for the detection of in adult emergency departments
Time frame: At enrollment visit, Month 1
Sensitivity of the different score items (EVA > 6)
Analyse the sensitivity of the EVA score for screening for ACL injuries (EVA \> 6)
Time frame: At enrollment visit, Month 1
Sensitivity of the different score items (functional impotence > 1)
Analyse the sensitivity of the functional impotence score for screening for ACL injuries (functional impotence \> 1)
Time frame: At enrollment visit, Month 1
Sensitivity of the different score items (Cracking ≥ 1)
Analyse the sensitivity of the Cracking score for screening for ACL injuries (Cracking ≥ 1)
Time frame: At enrollment visit, Month 1
Sensitivity of the different score items (Instability ≥ 1)
Analyse the sensitivity of the Instability score for screening for ACL injuries (Instability ≥ 1)
Time frame: At enrollment visit, Month 1
Sensitivity of the different score items (Presence of an effusion)
Analyse the sensitivity of the effusion score for screening for ACL injuries (Presence of an effusion)
Time frame: At enrollment visit, Month 1
Specificity of the different score items (EVA > 6)
Analyse the Specificity of the EVA score for screening for ACL injuries (EVA \> 6)
Time frame: At enrollment visit, Month 1
Specificity of the different score items (functional impotence > 1)
Analyse the Specificity of the functional impotence score for screening for ACL injuries (functional impotence \> 1)
Time frame: At enrollment visit, Month 1
Specificity of the different score items (Cracking ≥ 1)
Analyse the Specificity of the Cracking score for screening for ACL injuries (Cracking ≥ 1)
Time frame: At enrollment visit, Month 1
Specificity of the different score items (Instability ≥ 1)
Analyse the Specificity of the Instability score for screening for ACL injuries (Instability ≥ 1)
Time frame: At enrollment visit, Month 1
Specificity of the different score items (Presence of an effusion)
Analyse the Specificity of the effusion score for screening for ACL injuries (Presence of an effusion)
Time frame: At enrollment visit, Month 1
Plan to share: No — The data provided will be the property of the sponsor and will be used solely for its own research activities.
No publications or documents are linked to this record.
Ran from Feb 2024 to primary completion in Mar 2024, 1 month.
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This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.
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