Early Clinical Examination and Ultrasonography Screening of Acute Soft Tissue Shoulder Injuries

University of Oslo (UIO)

Status: Completed

Conditions: Rotator Cuff Tear; Soft Tissue Shoulder Injury

Treatments: Other: Ultrasonography

Study type: Observational

Funder types: Other

Identifiers

NCT02644564

2015/195

Details and patient eligibility

About

The purpose of the study is to determine whether the introduction of early ultrasonography screening will change the diagnostic spectrum of soft tissue shoulder injuries in patients aged forty years or more. We also want to study whether certain physical tests will be able to predict or rule out full-thickness tears of the rotator cuff (shoulder tendons) in the acute phase. Another purpose is to explore the course of soft tissue shoulder injuries over a year, as well as to compare the results to studies on the prevalence of rotator cuff full-thickness tears.

Enrollment: 120 estimated patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria, all of the following:

• patient at Section for Orthopaedic Emergency, Oslo University Hospital
• living in the municipality of Oslo
• acute injury
• sudden onset of symptoms
• International Classification of Diseases (ICD) -10 S4-diagnosis (except injuries of middle and distal third of humerus and related soft tissue)
• no sign of acute injury on radiographs in two views, or successfully reduced dislocation without fracture
• turns up for follow-up appointment within 21 days of injury

Exclusion Criteria:

• patients that are incapable of giving and or receiving adequate information, or that cannot undergo a normal clinical investigation, due to for example language problems, level of consciousness, drugs, mental or emotional status or other
• patients that have undergone shoulder surgery during the last 6 months
• injury of both shoulders
• patients with neck-/shoulder problems or generalised muscle pain during the last three months before the injury
• other serious disease such as cancer, rheumatic disorders, haematological, neurological, endocrinological or gastrointestinal disease that according to the doctor's best clinical judgement makes participation or follow-up difficult
• does not want to participate

Trial design

120 participants in 1 patient group

Ultrasonography

Description:

Patients will undergo structured clinical examination and ultrasonography of both shoulders on the day of inclusion. They also fill out an injury registration form, Oxford Shoulder Score and QuickDASH. Follow-up at 3, 6 and 12 months will be identical, but without ultrasonography and injury registration form.

Treatment:

Other: Ultrasonography