Time to Diagnosis of Glenohumeral Joint Dislocations in the ED- Traditional Radiography vs. POC Ultrasound
- Conditions
- Glenohumeral Dislocation
- Interventions
- Procedure: Shoulder reduction
- Registration Number
- NCT05237167
- Lead Sponsor
- University of Nebraska
- Brief Summary
This is study to compare the time to diagnosis of glenohumeral joint dislocation using two imaging methods, traditional x-ray and point-of-care ultrasound. Participants who present at the emergency department complaining of shoulder injury and who are suspected of having a possible glenohumeral shoulder dislocation will be eligible for the study. A reduction of the joint will be performed if imaging findings so indicate. All participants will receive a post-reduction x-ray and be referred to appropriate follow-up care.
- Detailed Description
This is a prospective comparison study evaluating the time to diagnosis of glenohumeral joint dislocation using two imaging modalities, traditional x-ray and point-of-care ultrasound. Eligible participants will include those who present to the emergency department with complaints of shoulder injury who are suspected by triage nursing of having a possible glenohumeral shoulder dislocation. Eligible participants will be consented by participating physicians and randomized into ultrasound or x-ray groups. If indicated based on the imaging findings, a reduction of the joint will be performed. All patients will receive a post-reduction x-ray and be referred to appropriate follow-up care based on the findings of their evaluation.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Adult patients (19 and older in state of Nebraska) who present to the emergency department with shoulder pain/injury and potential shoulder dislocation
- Injury sustained in major traumatic event (trauma activation), unable to consent, in extremis, less then 19 years of age
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Ultrasound Shoulder reduction After randomization, these subjects will undergo diagnostic point-of-care ultrasound Radiograph Shoulder reduction After randomization, these subjects will undergo diagnostic plain radiograph
- Primary Outcome Measures
Name Time Method Time to diagnosis of glenohumeral joint dislocations 0 to 60 minutes Comparison between point-of-care ultrasound and plain radiograph in time to diagnosis of glenohumeral joint dislocations who present to the emergency department
- Secondary Outcome Measures
Name Time Method Time to reduction of dislocation joint 1 to 6 hours Time from presentation in Emergency Department to treatment (reduction of joint dislocation)
Emergency Department Length of Stay 1 to 12 hours Total time in Emergency Department