Bedside ultrasonography for verification of shoulder reduction: A long way to go

Ahmadi, K. and Hashemian, A. M. and Sineh-Sepehr, K. and Afzal-Aghaee, M. and Jafarpour, S. and Rahimi-Movaghar, V. (2016) Bedside ultrasonography for verification of shoulder reduction: A long way to go. Chinese Journal of Traumatology - English Edition, 19 (1). pp. 45-48.

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Abstract

Purpose Shoulder dislocation is a common joint dislocation managed by the emergency physicians in the emergency departments. Pre- and post-reduction radiographic examinations have long been the standard practice to confirm the presence of dislocation and the successful reduction. However, shoulder ultrasonography has recently been proposed as an alternative to the radiographic examination. This study aimed to assess the accuracy of ultrasonography in evaluating proper reduction of the dislocated joint. Methods This was a prospective observational study. All patients with confirmed anterior shoulder dislocation were examined by both ultrasonography and radiography after the attempt for reduction of the dislocated joint. The examiners were blinded to the result of the other imaging modality. Results of the two methods were then compared. Results Overall, 108 patients with confirmed anterior shoulder dislocation were enrolled in the study. Ninety-one (84.3) of the patients were males. Mean age of the participants was (30.11 ± 11.41) years. The majority of the patients had a recurrent dislocation. Bedside ultrasonography showed a sensitivity of 53.8 (95 CI: 29.1-76.8) and a specificity of 100 (95 CI: 96.1-100) in detecting inadequate reductions. The results of ultrasonography had a statistically significant agreement with the results of radiography (Kappa = 0.672, p < 0.001). Conclusion The results suggest that the sensitivity of post-reduction ultrasound is not sufficient for it to serve as a substitute for radiography. © 2015 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University.

Item Type: Article
Additional Information: Cited By :5 Export Date: 16 February 2020 CODEN: CJTRF Correspondence Address: Rahimi-Movaghar, V.; Sina Trauma and Surgery Research Center, Tehran University of Medical SciencesIran; email: vrahimi@sina.tums.ac.ir
Uncontrolled Keywords: Radiography Shoulder dislocation Ultrasonography adult aged Article echograph echography female fracture reduction human major clinical study male observational study prospective study recurrent dislocation sensitivity and specificity shoulder radiography diagnostic imaging point of care testing Humans Point-of-Care Testing Prospective Studies
Subjects: WN Radiology . Diagnostic Imaging
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib4 lib4
Date Deposited: 03 Mar 2020 10:40
Last Modified: 03 Mar 2020 10:40
URI: http://eprints.mums.ac.ir/id/eprint/12899

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