Detection of Simultaneous Presence of Shoulder Lesions in Patients With Hand Injuries by Diagnostic Ultrasonography
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Diagnostic shoulder ultrasonography
Study Overview
Brief Summary
The purpose of the study is to reveal whether there are concurrent shoulder lesions in patients with hand injuries. Its importance is that it will shed light on whether not only the hand but also the shoulder should be included in the treatment program in hand rehabilitation.
Detailed Description
Hand injuries constitute one fifth of the injuries that are brought to the emergency room and one third of the work accidents. They are very costly because they require surgical intervention and a long rehabilitation process and delay the patient's return to work. The general tendency in hand rehabilitation is to focus more on treatments focused on the hand and wrist.
There are studies that draw attention to the relationship between hand grip strength and rotator cuff function and that other upper extremity musculoskeletal injuries are often neglected in patients with hand injuries. This may affect rehabilitation results and prevent the patient from returning to daily activities.
It is reported that in patients with hand and wrist injuries, other upper extremity musculoskeletal problems are seen simultaneously in 40% of cases and most of these are related to the shoulder.
It is reported that rotator cuff problems and lateral epicondylitis are 9 times more common even in carpal tunnel syndrome, which is a relatively simple hand problem that is encountered very frequently in clinical practice.
Traumatic hand injuries can also affect all upper extremity functions. In these patients, it was determined that there was weakness in both the ipsilateral supraspinatus and infraspinatus muscles. The researchers emphasized that the inclusion of shoulder muscle training during the postoperative rehabilitation protocol and selective strengthening of the rotator cuff muscles in distal extremity problems may be clinically important.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Having a history of hand injury and applying for hand rehabilitation after surgical and conservative treatment.
Exclusion Criteria
- •Being under 18 and over 65 years of age
- •Patients with systemic diseases (Diabetes mellitus, Peripheral vascular diseases)
- •Any rheumatic disease involving the hand and upper extremity
- •History of neuropathy involving the hand and upper extremity
- •Those with any shoulder problems prior to the hand injury
- •Those with an open wound on the hand
- •Those who cannot cooperate
- •Other upper extremity traumatic injuries occurring during the hand injury
Arms & Interventions
Control
The group with a normal shoulder examination and ultrasonographic findings will be the control group.
Case
Patients who apply to our hand rehabilitation clinic for rehabilitation after hand injury will undergo routine shoulder examination as well as hand examination. The group with shoulder symptoms and examination findings will constitute the case group.
Outcomes
Primary Outcomes
Diagnostic shoulder ultrasonography
Time Frame: up to 12 weeks
For shoulder ultrasonography, the specialist physician and the patient will sit opposite each other. The examination will be performed using high-resolution linear probes. Standard ultrasonography technique and diagnosis will be used, and real-time ultrasonography will be performed with an ultrasound device with a 6-11 MHz linear wide-band probe (Nemio XH, Toshiba, Japan). In shoulder ultrasonography, the long head of the biceps brachialis muscle, supraspinatus tendon and subacromial bursa will be examined. Fluid increase or edema in the subacromial bursa will be evaluated to determine whether there is subacromial bursitis. In case of suspected supraspinatus tendon rupture, the contour integrity, echogenicity and thickness of the tendon will be carefully examined; in addition, it will be determined whether there is a partial or complete tear on the tendon.
Secondary Outcomes
- Visual analog scale (VAS) scores(up to 12 weeks)
- Joint range of motion(up to 12 weeks)
- Handgrip Strength Test(up to 12 weeks)
- The Shoulder Pain and Disability Index(up to 12 weeks)
Investigators
Nadide Koca
Principal Investigator
Ankara Training and Research Hospital