Koorosh Ahmadi,Amir Masoud Hashemian,Kaveh Sineh-Sepehr,Monavvar Afzal-Aghaee,Saba Jafarpour,Vafa Rahimi-Movaghar.[J].Chin J Traumatol,2016,19(1):45-48. [doi]
Bedside ultrasonography for verification of shoulder reduction: A long way to go
  
DOI：
KeyWord: Shoulder dislocation Ultrasonography Radiography
FundProject:
Author NameAffiliation
Koorosh Ahmadi Emergency Department, Alborz University of Medical Sciences 
Amir Masoud Hashemian Emergency Department, Mashhad University of Medical Sciences 
Kaveh Sineh-Sepehr Emergency Department, Mashhad University of Medical Sciences 
Monavvar Afzal-Aghaee Emergency Department, Mashhad University of Medical Sciences 
Saba Jafarpour Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences
Department of Neurology, Boston Children's Hospital, Harvard Medical School 
Vafa Rahimi-Movaghar Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences
Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences
Research Centre for Neural Repair, University of Tehran 
Hits:
Download times:
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%e76.8%) and a specificity of 100% (95% CI: 96.1%e100%) in detecting inadequate reductions. The results of ultrasonography had a statistically significant agreement with the results of radiography (Kappa ¼ 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.
View Full Text   View/Add Comment  Download reader
Close