Anterior Shoulder Dislocation at Emergency Department

NCT06531590 | Recruiting

• 1 other identifier: anterior shoulder dislocation
• Study Type: observational
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, investigator will analyze the demographic characteristics of patients presenting to emergency department with Anterior Shoulder Dislocation. Investigators will document the mechanism of injury, orthopedic classification of shoulder dislocation, associated treatments, pre-procedural pain scoring, post-procedural pain scoring, as well as the duration of emergency department stay related to the preferred treatment, orthopedic consultation, and patient outcomes (discharge, admission to ward or intensive care unit, mortality). Aim of the study to investigate whether the current treatments used provide any superiority in emergency department outcomes for patients

Conditions

Shoulder Dislocation; Analgesia; Pain, Shoulder

Keywords

shoulder dislocation; interscalene nerve block; suprascapular nerve block; intraarticular lidocaine injection; emergency department

Outcome Measures

Primary Outcomes (1)

• shoulder reduction

  succesful reduction of shoulder joint and assessment of pain before and after analgesic treatments with pain scales ( visual analogue scale, verbal pain intensity scale, PAINAD ( pain assessment in advanced dementia) scale andvisual analogue scale)

  24 hours

Study Arms (4)

ketamine group

patients receiving ketamine as analgesic after shoulder dislocation

intraarticular lidocaine injection group

patients receiving intraarticular lidocaine injection as analgesic after shoulder dislocation

interscalene nerve block group

patients receiving interscalene nerve block group as analgesic after shoulder dislocation

suprascapular nerve block group

patients receiving suprascapular nerve block group as analgesic after shoulder dislocation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

patients followed at emergency department after shoulder dislocation who received analgesic treatment

You may qualify if:

• Patients aged 18 years and older

You may not qualify if:

• Patients who are not conscious at the time of admission and do not consent to participate in the study.
• Patients who do not have follow-up in our healthcare system or cannot be followed up.
• Patients with allergies to opioids or local anesthetics. Patients presenting to the emergency department with suspicion of multiple fractures and dislocations involving ≥2 different types of injuries will also be excluded from the study.
• Forensic cases

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead
• Ankara Etlik City Hospital: collaborator

Study Sites (1)

Etlik City Hospital

Ankara, Yenimahalle, 06110, Turkey (Türkiye)

RECRUITING

Related Publications (3)

• Buren MA, Theologis A, Zuraek A, Behrends M, Clark AJ, Leung JM. Lidocaine Infusion for the Management of Postoperative Pain and Delirium (LIMPP): protocol for a randomised control trial. BMJ Open. 2022 Jun 6;12(6):e059416. doi: 10.1136/bmjopen-2021-059416.

  PMID: 35667730 BACKGROUND

• Hayashi M, Kano K, Kuroda N, Yamamoto N, Shiroshita A, Kataoka Y. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis. Acad Emerg Med. 2022 Oct;29(10):1160-1171. doi: 10.1111/acem.14568. Epub 2022 Aug 11.

  PMID: 35872652 BACKGROUND

• Gawel RJ, Grill R, Bradley N, Luong J, Au AK. Ultrasound-Guided Peripheral Nerve Blocks for Shoulder Dislocation in the Emergency Department: A Systemic Review. J Emerg Med. 2023 Nov;65(5):e403-e413. doi: 10.1016/j.jemermed.2023.05.021. Epub 2023 Jun 9.

  PMID: 37741738 BACKGROUND

MeSH Terms

Conditions

Shoulder Dislocation; Agnosia; Shoulder Pain; Emergencies

Condition Hierarchy (Ancestors)

Joint Dislocations; Joint Diseases; Musculoskeletal Diseases; Wounds and Injuries; Shoulder Injuries; Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Arthralgia; Pain; Disease Attributes; Pathologic Processes

Study Officials

• gulsen akcay, ass. prof.

  ass. prof. of organization

  STUDY DIRECTOR

Central Study Contacts

gulsen akcay, ass. prof.

CONTACT

+905052874949; gulakcay@yahoo.com.tr

serife busra uysal, resident

CONTACT

+905321131688; serifebusrauysal@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 17, 2024
• First Posted: August 1, 2024
• Study Start: March 1, 2024
• Primary Completion: March 1, 2026
• Study Completion: March 1, 2026
• Last Updated: August 1, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)