Examination of Edema After Arthroscopic Shoulder Surgery

Study Overview
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Brief Summary
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Our aim is to examine trunk and upper extremity edema after arthroscopic rotator cuff repair and/or labrum repair surgeries. During surgery, the shoulder joint capsule is cut and the joint is entered arthroscopically. During this procedure, approximately 3-6 liters of saline fluid is injected into the joint, depending on the duration of the surgery. The given fluid accumulates out of the joint in relation to the duration of the surgery and the amount of fluid given. In this study, our aim is to examine how much the extra-articular fluid collects under the skin of the upper extremity and trunk, and the change in the amount of fluid 24 hours after surgery. Examination of the amount of subcutaneous fluid may help to better understand the postoperative complications such as edema, carpal tunnel syndrome, compartment syndrome, myolysis, and dyspnea. How much edema the joint and surrounding structures are exposed to and its relationship with the duration of surgery can help us determine the safe discharge time.

Official Title
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Examination of Edema After Arthroscopic Shoulder Surgery

Conditions
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Edema, Arthroscopy, Shoulder

Intervention / Treatment
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* Diagnostic Test: Edema measurement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Arthroscopic shoulder surgery planned 18-65 years old Exclusion Criteria: Frozen/stiff shoulder Metabolic and endocrine diseases Dermatological pathologies Hyperlaxity

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 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

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients undergoing shoulder arthroscopy surgery<br>Patients who underwent arthroscopic shoulder surgery by a single surgeon at Gazi Hospital Department of Orthopedics and Traumatology (rotator cuff repair, slap, bankart repair) | Diagnostic Test: Edema measurement<br>* Subcutaneous fluid measurements will be made 3 times in total, before the surgery, immediately after the surgery and 24 hours after the surgery. Measurements will be made with the MoistureMeterD Compact local edema measuring device. Points to be measured: Midpoint of the upper trapezius muscle 5 cm distal to anterior acromion 5cm distal to lateral acromion 5cm distal to posterior acromion 3cm medial to the axilla Anterior cubital fossa Carpal tunnel<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Edema | After the MoistureMeterD Compact local edema measuring device is placed perpendicular to the area to be measured, it will be held for 3 seconds and the percent moisture value will be recorded. 3 measurements will be made for each region. The average of the 3 measurements will be used in the statistical analysis. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Surgery time | The duration of each operation will be recorded in minutes by the surgeon performing the operation. | 3 months | 
| Amount of the saline | The amount of saline fluid used in each operation will be recorded in liters by the surgeon performing the operation. | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Edema; Shoulder arthroscopy