Prospective Descriptive Study of Injuries Associated to Anterior Shoulder Dislocations in Patients Over 40 Years

NCT05898243 | Recruiting

• 1 other identifier: Dislocation
• Study Type: observational
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

The glenohumeral joint has the highest rate of dislocation of the whole body, due to its high mobility and the special characteristics of its anatomy. It is estimated that every year between 1-2% of the population will suffer from glenohumeral dislocation. The vast majority of studies are based on young patients under the age of 40, given that at this age they have the higher incidence and at the same time, they have higher redislocation index. However, the investigators are in front of a more active population with a longer life expectancy. That is why the cases of anterior glenohumeral dislocations are increasing in people older than 40 years. Given that most studies focus on younger patients, the investigators lack knowledge about which injuries are associated with dislocation at this age and whether these influence its clinical evolution.

Conditions

Anterior Glenohumeral Dislocations

Outcome Measures

Primary Outcomes (1)

• Characterization of associated lesions

  At the three months visit including assessment of NMR/EMG/TAC/Bilateral Ultrasound

Secondary Outcomes (5)

• Constant Functional Test

  3, 6, 12 and 24 months

• WOSI test

  3, 6, 12 and 24 months

• SST

  3, 6, 12 and 24 months

• Redislocations

  3, 6, 12 and 24 months

• Type of treatment

  3, 6, 12 and 24 months

Study Arms (1)

Humeral anterior dislocation

Patients presenting a first episode of humeral anterior dislocation and who are over 40 years old.

Procedure: Reduction

Interventions

Reduction PROCEDURE

An Rx will be performed before and after the reduction of the dislocation. After that, the neurovascular state will be checked and also if there is some associated injury.

Humeral anterior dislocation

Eligibility Criteria

• Age: 40 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

All consecutive patients with an anterior glenohumeral dislocation and over 40 years old who came to the Emergency Room in the Hospital between June 2023 and June 2025

You may qualify if:

• More than 40 years old
• First episode of traumatic anterior gelnohumeral dislocation seen in Rx
• Acceptance to be checked over 2 years
• Acceptance to be submitted to TAC, NMR, EMG and Bilateral Ultrasound

You may not qualify if:

• Previous fractures in this extremity
• Previous neurovascular lesions in this extremity
• Other associated lesions
• Cognitive alterations or dementia which prevent completing the protocols. Patients with \<14 points in Mini-mental test.

Sponsors & Collaborators

• Corporacion Parc Tauli: lead

Study Sites (1)

Hospital Parc Taulí

Sabadell, Barcelona, 08208, Spain

RECRUITING

Related Publications (9)

• Smartt AA, Wilbur RR, Song BM, Krych AJ, Okoroha K, Barlow JD, Camp CL. Natural History of First-Time Anterior Shoulder Dislocation in Patients Older Than 50 Years: A Study of 179 Patients With a Mean Follow-up of 11 Years. Orthop J Sports Med. 2022 Nov 2;10(11):23259671221129301. doi: 10.1177/23259671221129301. eCollection 2022 Nov.

  PMID: 36339796 BACKGROUND

• Rapariz JM, Martin-Martin S, Pareja-Bezares A, Ortega-Klein J. Shoulder dislocation in patients older than 60 years of age. Int J Shoulder Surg. 2010 Oct;4(4):88-92. doi: 10.4103/0973-6042.79792.

  PMID: 21655003 BACKGROUND

• Robinson CM, Shur N, Sharpe T, Ray A, Murray IR. Injuries associated with traumatic anterior glenohumeral dislocations. J Bone Joint Surg Am. 2012 Jan 4;94(1):18-26. doi: 10.2106/JBJS.J.01795.

  PMID: 22218378 BACKGROUND

• Maier M, Geiger EV, Ilius C, Frank J, Marzi I. Midterm results after operatively stabilised shoulder dislocations in elderly patients. Int Orthop. 2009 Jun;33(3):719-23. doi: 10.1007/s00264-008-0578-z. Epub 2008 May 24.

  PMID: 18500515 BACKGROUND

• Atef A, El-Tantawy A, Gad H, Hefeda M. Prevalence of associated injuries after anterior shoulder dislocation: a prospective study. Int Orthop. 2016 Mar;40(3):519-24. doi: 10.1007/s00264-015-2862-z. Epub 2015 Jul 2.

  PMID: 26133290 BACKGROUND

• Sonnabend DH. Treatment of primary anterior shoulder dislocation in patients older than 40 years of age. Conservative versus operative. Clin Orthop Relat Res. 1994 Jul;(304):74-7.

  PMID: 8020237 BACKGROUND

• Liavaag S, Stiris MG, Svenningsen S, Enger M, Pripp AH, Brox JI. Capsular lesions with glenohumeral ligament injuries in patients with primary shoulder dislocation: magnetic resonance imaging and magnetic resonance arthrography evaluation. Scand J Med Sci Sports. 2011 Dec;21(6):e291-7. doi: 10.1111/j.1600-0838.2010.01282.x. Epub 2011 Mar 15.

  PMID: 21401723 BACKGROUND

• Stayner LR, Cummings J, Andersen J, Jobe CM. Shoulder dislocations in patients older than 40 years of age. Orthop Clin North Am. 2000 Apr;31(2):231-9. doi: 10.1016/s0030-5898(05)70143-7.

  PMID: 10736392 BACKGROUND

• Shin SJ, Yun YH, Kim DJ, Yoo JD. Treatment of traumatic anterior shoulder dislocation in patients older than 60 years. Am J Sports Med. 2012 Apr;40(4):822-7. doi: 10.1177/0363546511434522. Epub 2012 Jan 27.

  PMID: 22287643 BACKGROUND

Central Study Contacts

Mònica Salomó

CONTACT

+34 93 723 10 10; msalomo@tauli.cat

Mireia Viñas

CONTACT

+34 93 723 10 10; mmvinas@tauli.cat

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor

Study Record Dates

• First Submitted: June 1, 2023
• First Posted: June 12, 2023
• Study Start: June 1, 2023
• Primary Completion (Estimated): May 31, 2028
• Study Completion (Estimated): May 31, 2028
• Last Updated: February 7, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)