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

Shoulder Dislocation Clinical Trial

Official title:

Diagnostic Accuracy of Bedside Point of Care Ulrasound (POCUS) in the Management of the Shoulder Dislocations

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02469818
• Other study ID #: AntalyaTRH005
• Status: Recruiting
• Phase: N/A
• First received: June 8, 2015
• Last updated: June 12, 2015
• Start date: January 2015
• Est. completion date: August 2015

Study information

• Verified date: June 2015
• Source: Antalya Training and Research Hospital
• Contact: Can K. Akyol, MD
• Phone: +905324941070
• Email: drcanakyol[@]gmail.com
• Is FDA regulated: No
• Health authority: Turkey: Ethics Committee
• Study type: Observational

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 100
• Est. completion date: August 2015
• Est. primary completion date: August 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 15 Years and older

Eligibility

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

Study Design

Observational Model: Case-Only, Time Perspective: Prospective

Related Conditions & MeSH terms

• Dislocations
• Shoulder Dislocation

Locations

Country	Name	City	State
Turkey	Can K. Akyol	Antalya

Sponsors (1)

Lead Sponsor	Collaborator
Antalya Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

References & Publications (6)

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. — View Citation

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. — View Citation

Hendey GW. Necessity of radiographs in the emergency department management of shoulder dislocations. Ann Emerg Med. 2000 Aug;36(2):108-13. — View Citation

Kahn JH, Mehta SD. The role of post-reduction radiographs after shoulder dislocation. J Emerg Med. 2007 Aug;33(2):169-73. Epub 2007 Jun 13. — View Citation

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. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Diagnostic accuracy of emergency physician performed point of care ultrasonography of shoulder in diagnosing of shoulder dislocations		1 year	No