Ultrasonographic Analysis of Post-Traumatic Shoulder Lesions After Hand Trauma

NCT06838247 | Recruiting

• 1 other identifier: AnkaraTRH-FTR-NK-02
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to reveal whether there are concurrent shoulder lesions in patients with hand injuries. Its importance is that it will shed light on whether not only the hand but also the shoulder should be included in the treatment program in hand rehabilitation.

Conditions

Shoulder; Ultrasonographic; Hand Injuries

Keywords

Hand injuries; Shoulder; Diagnostic; Ultrasonography

Outcome Measures

Primary Outcomes (1)

• Diagnostic shoulder ultrasonography

  For shoulder ultrasonography, the specialist physician and the patient will sit opposite each other. The examination will be performed using high-resolution linear probes. Standard ultrasonography technique and diagnosis will be used, and real-time ultrasonography will be performed with an ultrasound device with a 6-11 MHz linear wide-band probe (Nemio XH, Toshiba, Japan). In shoulder ultrasonography, the long head of the biceps brachialis muscle, supraspinatus tendon and subacromial bursa will be examined. Fluid increase or edema in the subacromial bursa will be evaluated to determine whether there is subacromial bursitis. In case of suspected supraspinatus tendon rupture, the contour integrity, echogenicity and thickness of the tendon will be carefully examined; in addition, it will be determined whether there is a partial or complete tear on the tendon.

  up to 12 weeks

Secondary Outcomes (4)

• Visual analog scale (VAS) scores

  up to 12 weeks

• Joint range of motion

  up to 12 weeks

• Handgrip Strength Test

  up to 12 weeks

• The Shoulder Pain and Disability Index

  up to 12 weeks

Study Arms (2)

Case

Patients who apply to our hand rehabilitation clinic for rehabilitation after hand injury will undergo routine shoulder examination as well as hand examination. The group with shoulder symptoms and examination findings will constitute the case group.

Control

The group with a normal shoulder examination and ultrasonographic findings will be the control group.

Eligibility Criteria

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

Study Population

Patients who apply to our hand rehabilitation clinic for rehabilitation after hand injury will undergo a routine shoulder examination as well as a hand examination. The group with shoulder symptoms and examination findings will constitute the case group, and the group with a normal shoulder examination will constitute the control group. Age, gender, height, weight, occupation, dominant hand, type of injury, type of injury, duration of injury, operation time, and immobilization time will be recorded for both groups.

You may qualify if:

• Having a history of hand injury and applying for hand rehabilitation after surgical and conservative treatment.

You may not qualify if:

• Being under 18 and over 65 years of age
• Patients with systemic diseases (Diabetes mellitus, Peripheral vascular diseases)
• Any rheumatic disease involving the hand and upper extremity
• History of neuropathy involving the hand and upper extremity
• Those with any shoulder problems prior to the hand injury
• Those with an open wound on the hand
• Those who cannot cooperate
• Other upper extremity traumatic injuries occurring during the hand injury

Sponsors & Collaborators

• Ankara Training and Research Hospital: lead

Study Sites (1)

Department of Physical Therapy and Rehabilitation, University of Health Sciences, Ankara Training and Research Hospital

Ankara, Altindag, 06230, Turkey (Türkiye)

RECRUITING

Related Publications (5)

• Abdallah EA, Eldesoky MT, Saweres JW, Abdelhaleem MD. Effect of Adding Shoulder Stabilization Exercises to the Rehabilitation of Postoperative Hand Injuries in Young Adult Patients. Hand (N Y). 2025 Jul;20(5):778-784. doi: 10.1177/15589447241232017. Epub 2024 Feb 15.

  PMID: 38357889 BACKGROUND

• Winiarski LM, Livoni JD, Madsen PV, Rathleff MS, Larsen P. Concurrent musculoskeletal complaints in elbows, shoulders, and necks after common hand and forearm injuries or conditions: A cross-sectional study among 600 patients. J Hand Ther. 2021 Oct-Dec;34(4):543-548. doi: 10.1016/j.jht.2020.05.002. Epub 2020 Sep 4.

  PMID: 32893097 BACKGROUND

• Horsley I, Herrington L, Hoyle R, Prescott E, Bellamy N. Do changes in hand grip strength correlate with shoulder rotator cuff function? Shoulder Elbow. 2016 Apr;8(2):124-9. doi: 10.1177/1758573215626103. Epub 2016 Jan 25.

  PMID: 27583010 BACKGROUND

• Xue R, Wong J, Imere A, King H, Clegg P, Cartmell S. Current clinical opinion on surgical approaches and rehabilitation of hand flexor tendon injury-a questionnaire study. Front Med Technol. 2024 Feb 15;6:1269861. doi: 10.3389/fmedt.2024.1269861. eCollection 2024.

  PMID: 38425421 BACKGROUND

• Jha CK, Shukla Y, Mukherjee R, Rathva P, Joshi M, Jain D. A Glove-Based Virtual Hand Rehabilitation System for Patients With Post-Traumatic Hand Injuries. IEEE Trans Biomed Eng. 2024 Jul;71(7):2033-2041. doi: 10.1109/TBME.2024.3360888. Epub 2024 Jun 19.

  PMID: 38294922 BACKGROUND

MeSH Terms

Conditions

Hand Injuries; Disease

Condition Hierarchy (Ancestors)

Wounds and Injuries; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Nadide Koca, M.D.

CONTACT

+905376843434; nadide.koca@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 16, 2025
• First Posted: February 20, 2025
• Study Start: November 11, 2024
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): July 1, 2026
• Last Updated: March 23, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)