Prospective Descriptive Study of Injuries Associated to Anterior Shoulder Dislocations in Patients Over 40 Years

NCT ID: NCT05898243

Last Updated: 2024-02-07

Basic Information

• Recruitment Status: RECRUITING
• Total Enrollment: 120 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2023-06-01
• Study Completion Date: 2028-05-31

Brief Summary

The glenohumeral joint has the highest rate of dislocation of the whole body, due to its high mobility and the special characteristics of its anatomy. It is estimated that every year between 1-2% of the population will suffer from glenohumeral dislocation. The vast majority of studies are based on young patients under the age of 40, given that at this age they have the higher incidence and at the same time, they have higher redislocation index. However, the investigators are in front of a more active population with a longer life expectancy. That is why the cases of anterior glenohumeral dislocations are increasing in people older than 40 years. Given that most studies focus on younger patients, the investigators lack knowledge about which injuries are associated with dislocation at this age and whether these influence its clinical evolution.

Conditions

Anterior Glenohumeral Dislocations

Study Design

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

Study Groups

Humeral anterior dislocation

Patients presenting a first episode of humeral anterior dislocation and who are over 40 years old.

Reduction

Intervention Type: PROCEDURE

An Rx will be performed before and after the reduction of the dislocation. After that, the neurovascular state will be checked and also if there is some associated injury.

Interventions

Reduction

An Rx will be performed before and after the reduction of the dislocation. After that, the neurovascular state will be checked and also if there is some associated injury.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• More than 40 years old
• First episode of traumatic anterior gelnohumeral dislocation seen in Rx
• Acceptance to be checked over 2 years
• Acceptance to be submitted to TAC, NMR, EMG and Bilateral Ultrasound

Exclusion Criteria

• Previous fractures in this extremity
• Previous neurovascular lesions in this extremity
• Other associated lesions
• Cognitive alterations or dementia which prevent completing the protocols. Patients with <14 points in Mini-mental test.

• Minimum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Corporacion Parc Tauli

OTHER

Sponsor Role: lead

Responsible Party

Mònica Salomó Domènech

Doctor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Hospital Parc Taulí

Sabadell, Barcelona, Spain

Site Status: RECRUITING

Countries

Spain

Central Contacts

Mònica Salomó

Role: CONTACT

msalomo@tauli.cat

+34 93 723 10 10 ext. 21611

Mireia Viñas

Role: CONTACT

mmvinas@tauli.cat

+34 93 723 10 10 ext. 21660

Facility Contacts

Mireia

Role: primary

34 93 723 10 10 ext. 21652

References

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Reference Type: BACKGROUND

PMID: 36339796 (View on PubMed)

Rapariz JM, Martin-Martin S, Pareja-Bezares A, Ortega-Klein J. Shoulder dislocation in patients older than 60 years of age. Int J Shoulder Surg. 2010 Oct;4(4):88-92. doi: 10.4103/0973-6042.79792.

Reference Type: BACKGROUND

PMID: 21655003 (View on PubMed)

Robinson CM, Shur N, Sharpe T, Ray A, Murray IR. Injuries associated with traumatic anterior glenohumeral dislocations. J Bone Joint Surg Am. 2012 Jan 4;94(1):18-26. doi: 10.2106/JBJS.J.01795.

Reference Type: BACKGROUND

PMID: 22218378 (View on PubMed)

Maier M, Geiger EV, Ilius C, Frank J, Marzi I. Midterm results after operatively stabilised shoulder dislocations in elderly patients. Int Orthop. 2009 Jun;33(3):719-23. doi: 10.1007/s00264-008-0578-z. Epub 2008 May 24.

Reference Type: BACKGROUND

PMID: 18500515 (View on PubMed)

Atef A, El-Tantawy A, Gad H, Hefeda M. Prevalence of associated injuries after anterior shoulder dislocation: a prospective study. Int Orthop. 2016 Mar;40(3):519-24. doi: 10.1007/s00264-015-2862-z. Epub 2015 Jul 2.

Reference Type: BACKGROUND

PMID: 26133290 (View on PubMed)

Sonnabend DH. Treatment of primary anterior shoulder dislocation in patients older than 40 years of age. Conservative versus operative. Clin Orthop Relat Res. 1994 Jul;(304):74-7.

Reference Type: BACKGROUND

PMID: 8020237 (View on PubMed)

Liavaag S, Stiris MG, Svenningsen S, Enger M, Pripp AH, Brox JI. Capsular lesions with glenohumeral ligament injuries in patients with primary shoulder dislocation: magnetic resonance imaging and magnetic resonance arthrography evaluation. Scand J Med Sci Sports. 2011 Dec;21(6):e291-7. doi: 10.1111/j.1600-0838.2010.01282.x. Epub 2011 Mar 15.

Reference Type: BACKGROUND

PMID: 21401723 (View on PubMed)

Stayner LR, Cummings J, Andersen J, Jobe CM. Shoulder dislocations in patients older than 40 years of age. Orthop Clin North Am. 2000 Apr;31(2):231-9. doi: 10.1016/s0030-5898(05)70143-7.

Reference Type: BACKGROUND

PMID: 10736392 (View on PubMed)

Shin SJ, Yun YH, Kim DJ, Yoo JD. Treatment of traumatic anterior shoulder dislocation in patients older than 60 years. Am J Sports Med. 2012 Apr;40(4):822-7. doi: 10.1177/0363546511434522. Epub 2012 Jan 27.

Reference Type: BACKGROUND

PMID: 22287643 (View on PubMed)

Other Identifiers

Dislocation

Identifier Type: -

Identifier Source: org_study_id