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Recruiting NCT05898243

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

— Observational Anterior Glenohumeral Dislocations

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Reduction.
Who it may be relevant to
Registry conditions: Anterior Glenohumeral Dislocations. Basic parameters: from 40 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Spain
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Overview

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.

Interventions

  • Procedure Reduction
    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.

Primary outcome measures

  • Characterization of associated lesions [Time frame: At the three months visit including assessment of NMR/EMG/TAC/Bilateral Ultrasound]
Secondary outcome measures (5)
  • Constant Functional Test [Time frame: 3, 6, 12 and 24 months]
  • WOSI test [Time frame: 3, 6, 12 and 24 months]
  • SST [Time frame: 3, 6, 12 and 24 months]
  • Redislocations [Time frame: 3, 6, 12 and 24 months]
  • Type of treatment [Time frame: 3, 6, 12 and 24 months]

Eligibility criteria

Inclusion criteria

  • 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

Exclusion criteria

  • 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.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

Spain · 1 center
  • Hospital Parc Taulí — Sabadell

Publications

  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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

Identifiers

NCT: NCT05898243 · Dislocation

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗