Diagnostic Accuracy of Bedside Ultrasonography in the Management of the Shoulder Dislocations

NCT ID: NCT02469818

Last Updated: 2015-06-16

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 100 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2015-01-31
• Study Completion Date: 2015-08-31

Brief Summary

Shoulder dislocation is a common clinical presentation in the emergency department, comprising about 50 percent of all major joint dislocations. In the standart management of shoulder dislocations physicians generally need to see pre and post reduction x ray graphics. Ultrasonography is harmless way of evaluating shoulder and may be used in the management of the shoulder dislocations instead of the x ray evaluations.

Detailed Description

Shoulder dislocation is a common clinical presentation in the emergency department, comprising about 50 percent of all major joint dislocations. In the standard management of shoulder dislocations physicians generally need to see pre and post reduction x ray graphics. Ultrasonography is harmless way of evaluating shoulder and may be used in the management of the shoulder dislocations instead of the x ray evaluations.Recent literature has demonstrated the superiority of point-of-care ultrasonography (POCUS) in detecting both anterior and posterior shoulder dislocations, making it another rapidly evolving tool to improve accuracy, decrease error, and improve efficiency. The aim of the study is to evaluate the accuracy and clinical usability of ultrasonography in the management of the shoulder dislocations.

Conditions

Shoulder Dislocation

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: PROSPECTIVE

Eligibility Criteria

Inclusion Criteria

• All patients over 14 years with suspected shoulder dislocation
• Accept to be participating

Exclusion Criteria

• Patients under 15 years of age
• Diagnosed before pocus evaluation
• Open fracture dislocations of the shoulder

• Minimum Eligible Age: 15 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Antalya Training and Research Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Can K. Akyol, MD

Role: PRINCIPAL_INVESTIGATOR

Antalya Training and Research Hospital

Locations

Can K. Akyol

Antalya, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Can K. Akyol, MD

Role: CONTACT

drcanakyol@gmail.com

+905324941070

Faruk Gungor, MD

Role: CONTACT

drfarukgungor@gmail.com

+905056892041

Facility Contacts

Mustafa Kesapli, MD

Role: primary

mustafakesapli@hotmail.com

+905325239901

A. Janitzky

Role: backup

References

Abbasi S, Molaie H, Hafezimoghadam P, Zare MA, Abbasi M, Rezai M, Farsi D. Diagnostic accuracy of ultrasonographic examination in the management of shoulder dislocation in the emergency department. Ann Emerg Med. 2013 Aug;62(2):170-5. doi: 10.1016/j.annemergmed.2013.01.022. Epub 2013 Mar 13.

Reference Type: BACKGROUND

PMID: 23489654 (View on PubMed)

Mackenzie DC, Liebmann O. Point-of-care ultrasound facilitates diagnosing a posterior shoulder dislocation. J Emerg Med. 2013 May;44(5):976-8. doi: 10.1016/j.jemermed.2012.11.080. Epub 2013 Mar 13.

Reference Type: BACKGROUND

PMID: 23490112 (View on PubMed)

Kahn JH, Mehta SD. The role of post-reduction radiographs after shoulder dislocation. J Emerg Med. 2007 Aug;33(2):169-73. doi: 10.1016/j.jemermed.2007.01.003. Epub 2007 Jun 13.

Reference Type: BACKGROUND

PMID: 17692769 (View on PubMed)

Hendey GW. Necessity of radiographs in the emergency department management of shoulder dislocations. Ann Emerg Med. 2000 Aug;36(2):108-113. doi: 10.1067/mem.2000.108314.

Reference Type: BACKGROUND

PMID: 10918101 (View on PubMed)

Gupta H, Robinson P. Normal shoulder ultrasound: anatomy and technique. Semin Musculoskelet Radiol. 2015 Jul;19(3):203-11. doi: 10.1055/s-0035-1549315. Epub 2015 May 28.

Reference Type: BACKGROUND

PMID: 26021582 (View on PubMed)

Smith MJ, Rogers A, Amso N, Kennedy J, Hall A, Mullaney P. A training, assessment and feedback package for the trainee shoulder sonographer. Ultrasound. 2015 Feb;23(1):29-41. doi: 10.1177/1742271X14566067.

Reference Type: BACKGROUND

PMID: 25866545 (View on PubMed)

Akyol C, Gungor F, Akyol AJ, Kesapli M, Guven R, Cengiz U, Toksul HI, Eken C. Point-of-care ultrasonography for the management of shoulder dislocation in ED. Am J Emerg Med. 2016 May;34(5):866-70. doi: 10.1016/j.ajem.2016.02.006. Epub 2016 Feb 16.

Reference Type: DERIVED

PMID: 26935225 (View on PubMed)

Other Identifiers

AntalyaTRH005

Identifier Type: -

Identifier Source: org_study_id