Reliability of the Subacromial Distance Measurements With Standard Radiographic Imaging

NCT04759027 | Completed

• 1 other identifier: E-83045809-604.01.02-1214
• Study Type: observational
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with complaints of shoulder pain or limitation of motion, who admitted to outpatient orthopaedic clinic will be analyzed. It was planned to measure the subacromial distance using standardized both shoulder ap, true ap and outlet radiographs, and ultrasound to be performed for shoulder circumference soft tissue and muscle-tendon evaluation. The measurement made by the physical therapy and rehabilitation specialist with ultrasound will be considered to be accurate, and it was planned to evaluate the reliability of the graphy measurements by comparing this measurement with the measurements in the graphs. In addition, it was planned to evaluate the intra-observer and inter-observer compliance by re-measuring the subacromial distance on the radiograph by orthopedic doctors of three different seniority levels with an interval of one month.

Conditions

Subacromial Impingement; Rotator Cuff Tears

Keywords

x-ray; direct radiography; ultrasound; acromiohumeral distance; subacromial distance; rotator cuff

Outcome Measures

Primary Outcomes (1)

• RELIABILITY OF DIRECT RADIOGRAPHY IMAGING

  The investigators will compare the results of subacromial distance measure on X-ray and ultrasound. Ultrasound measures were accepted as gold standart method.

  within 2 weeks after first evaluation

Secondary Outcomes (1)

• REPRODUCIBLITY

  1 month apart measurements will be evaluate

Study Arms (2)

X-ray

Measurements of subacromial distance on standardized direct radiography

Other: subacromial distance measurement

ultrasound

Measurements of subacromial distance on ultrasound

Other: subacromial distance measurement

Interventions

subacromial distance measurement OTHER

distance between acromion and humerus

X-ray; ultrasound

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients over the age of 18 who admitted to orthopedics and traumatology outpatient clinics with a complaint of non-traumatic shoulder pain for more than two weeks or traumatic shoulder pain will be study population.

You may qualify if:

• shoulder pain ( acute traumatic or non-traumatic chronic)

You may not qualify if:

• end stage glenohumeral joint arthrosis
• adhesive capsulitis
• fractures
• previous shoulder surgery

Sponsors & Collaborators

• Göker Utku değer: lead

Study Sites (1)

Istanbul University- Cerrahpasa Cerrahpasa Medical Faculty

Istanbul, 34098, Turkey (Türkiye)

Location

Related Publications (19)

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  PMID: 3771595 BACKGROUND

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  PMID: 28567226 BACKGROUND

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  PMID: 18162412 BACKGROUND

• Sasiponganan C, Dessouky R, Ashikyan O, Pezeshk P, McCrum C, Xi Y, Chhabra A. Subacromial impingement anatomy and its association with rotator cuff pathology in women: radiograph and MRI correlation, a retrospective evaluation. Skeletal Radiol. 2019 May;48(5):781-790. doi: 10.1007/s00256-018-3096-0. Epub 2018 Oct 27.

  PMID: 30368566 BACKGROUND

• Yoshida Y, Matsumura N, Yamada Y, Yamada M, Yokoyama Y, Matsumoto M, Nakamura M, Nagura T, Jinzaki M. Evaluation of three-dimensional acromiohumeral distance in the standing position and comparison with its conventional measuring methods. J Orthop Surg Res. 2020 Sep 23;15(1):436. doi: 10.1186/s13018-020-01935-9.

  PMID: 32967710 BACKGROUND

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  PMID: 32471753 BACKGROUND

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  PMID: 32066419 BACKGROUND

• Pijls BG, Kok FP, Penning LI, Guldemond NA, Arens HJ. Reliability study of the sonographic measurement of the acromiohumeral distance in symptomatic patients. J Clin Ultrasound. 2010 Mar-Apr;38(3):128-34. doi: 10.1002/jcu.20674.

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• McCreesh KM, Crotty JM, Lewis JS. Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review. Br J Sports Med. 2015 Mar;49(5):298-305. doi: 10.1136/bjsports-2012-092063. Epub 2013 Jul 2.

  PMID: 25690908 BACKGROUND

• Fehringer EV, Rosipal CE, Rhodes DA, Lauder AJ, Puumala SE, Feschuk CA, Mormino MA, Hartigan DE. The radiographic acromiohumeral interval is affected by arm and radiographic beam position. Skeletal Radiol. 2008 Jun;37(6):535-9. doi: 10.1007/s00256-008-0467-y.

  PMID: 18343920 BACKGROUND

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Rotator Cuff Injuries

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries; Rupture; Tendon Injuries

Study Officials

• Mehmet F Guven, Assoc.prof

  Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research assistant

Study Record Dates

• First Submitted: February 1, 2021
• First Posted: February 17, 2021
• Study Start: May 1, 2021
• Primary Completion: December 31, 2021
• Study Completion: March 1, 2022
• Last Updated: March 31, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)