The Accuracy of Ultrasound in Detecting Rotator Cuff Tears in Proximal Humerus Fracture Patients

Study Overview
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Brief Summary
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The aim of this study is to determine the diagnostic accuracy of ultrasonography (US) in detecting full-thickness (a lesion that extends through both the bursal and articular part of the tendon) rotator cuff tear in patients who have sustained a proximal humerus fracture, using operative examination as the golden standard.

Detailed Description
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Although most of the focus concerning proximal humerus fractures is on the bony structures, injuries in the musculotendinous insertion regions of the rotator cuff musculature may also need attention in the treatment. Ultrasound is a painless and non-invasive screening modality in patients with a suspected rotator cuff tear. It is a user-dependent modality and health professionals must possess the competence and training before using it. To the investigators knowledge, no studies have investigated the accuracy of ultrasound in detecting rotator cuff tears, in patients who sustained a proximal humerus fracture.

Official Title
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The Diagnostic Accuracy of Ultrasound in Detecting Rotator Cuff Tears in Patients Who Sustained a Proximal Humerus Fracture

Conditions
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Rotator Cuff Tear, Proximal Humeral Fracture

Intervention / Treatment
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* Diagnostic Test: Ultrasound examination of the rotator cuff tendons


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Displaced proximal humeral fracture Referred to operative treatment Exclusion Criteria: Younger than 18 years old Non-independent Does no understand written and spoken guidance in local language, Danish, Swedish or Finnish Open fracture Isolated tuberculum fracture

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: Ultrasound examination of the rotator cuff tendons|An ultrasound scan of the rotator cuff tendons will be performed to determine the presence of a rotator cuff tear or not|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Full-thickness rotator cuff tear in the shoulder | The outcome is dichotomous; yes/no and will be used to estimate the sensitivity, specificity, the negative predictive value and the positive predictive value | Ultrasound scan is performed once; Baseline (prior to operation which is the golden standard) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Partial-thickness rotator cuff tear in the shoulder | The outcome is dichotomous; yes/no and will be used to estimate the sensitivity, specificity, the negative predictive value and the positive predictive value | Ultrasound scan is performed once; Baseline (prior to operation which is the golden standard) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diagnostic ultrasound