Diagnostic Utility of Musculoskeletal Ultrasound in Early Postoperative Evaluation of Posttraumatic Repaired Hand Tendons.

NCT ID: NCT07238517

Last Updated: 2025-11-20

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 50 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2026-07-01
• Study Completion Date: 2027-11-30

Brief Summary

To evaluate the role of musculoskeletal ultrasound in the early postoperative period following hand tendon repair. By assessing its diagnostic accuracy and clinical utility, the study seeks to determine whether routine MSK-US surveillance can contribute to earlier detection of complications, guide timely management decisions, and ultimately improve functional outcomes in patients undergoing hand tendon surgery.

Detailed Description

Hand tendon injuries are among the most frequent traumatic lesions of the upper extremity, representing a major cause of emergency and elective surgeries. Despite advances in surgical techniques, these injuries remain challenging due to the risk of postoperative complications such as rupture, adhesions, infection, and impaired tendon gliding. Early recognition of such complications is essential to prevent long-term stiffness, disability, and functional loss .

Postoperative assessment traditionally relies on clinical examination, but this may be limited by pain, swelling, dressings, or poor patient compliance, and subtle complications may not be evident until significant dysfunction develops. Hence, there is a need for a reliable, non-invasive modality to aid early detection and guide timely intervention.

Musculoskeletal ultrasound (MSK-US) has become an important tool for evaluating tendon injuries. It offers high spatial resolution, dynamic real-time imaging, absence of ionizing radiation, cost-effectiveness, and broad availability. In postoperative settings, MSK-US provides valuable information on tendon continuity, vascularity, surrounding soft tissue changes, and the presence of adhesions or fluid collections. Its ability to assess tendon motion dynamically further enhances its role in monitoring functional recovery.

Evidence indicates that MSK-US can detect complications such as rerupture, adhesions, or infection earlier than clinical examination, supporting its role as an adjunctive modality in follow-up. However, standardized use of ultrasound in routine postoperative surveillance of repaired hand tendons has not yet been established.

Conditions

Ultrasound Evaluation; Hand Tendon Injury

Study Design

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

Interventions

MSK US

Focus on early postoperative (first 6-12 weeks) assessment after post-traumatic tendon repair.

Utilization of high-frequency dynamic ultrasound rather than static imaging or delayed MRI.

Standardized scanning protocol and blinded interpretation to ensure diagnostic validity.

Designed to evaluate the diagnostic utility of MSK-US compared with conventional clinical follow-up methods.

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

-

Exclusion Criteria

-

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Abdelazeem Salah Abdelazeem Rajeh

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Nagham Nabeel Omar

Role: STUDY_DIRECTOR

Assiut University

Locations

Assiut University

Asyut, , Egypt

Countries

Egypt

Central Contacts

Abdelazeem Salah Rajeh

Role: CONTACT

AbdElazeem.17289819@med.aun.edu.eg

+201006603514

Other Identifiers

MSK-US repaired hand tendon

Identifier Type: -

Identifier Source: org_study_id