Research on Optimization of Rotator Cuff Injury Diagnosis Plan

Rotator cuff injury is a common cause of shoulder pain and dysfunction. Finding out patients with suspected rotator cuff injuries through physical examination of the shoulder joints, MRI further assists in the diagnosis, and final surgical diagnosis and treatment are the current standardized procedures.

How to apply multiple physical examination programs to make judgments sensitively, efficiently and accurately is a clinical problem that needs to be solved urgently.

Study Overview

• Status: Not yet recruiting
• Conditions: Rotator Cuff Injury
• Intervention / Treatment: Behavioral: several physical examinations

Detailed Description

Rotator cuff injury is a common cause of shoulder pain and dysfunction. The common symptoms of rotator cuff injury include shoulder pain, weakness, and limited mobility. Arthroscopic exploration is the gold standard for the diagnosis of rotator cuff injury, but it is an invasive examination that is difficult to carry out routinely; MRI is sensitive in diagnosing rotator cuff tears Both sex and specificity are high, but due to the popularity, cost and waiting time, it is difficult to be used as a routine screening method.

Therefore, finding patients with suspected rotator cuff injuries through physical examination of the shoulder joints, MRI further assisting in the diagnosis, and final surgical diagnosis and treatment are the current standardized procedures.

However, although there are many physical examination methods for the shoulder joint, the accuracy of each method is different, and each has its own sensitivity and specificity. How to apply multiple examination programs in combination to make it sensitive, efficient and accurate Judgment is a problem that needs to be solved clinically.

This study is expected to adopt prospective research methods to collect and collect patient medical records, preoperative physical examination results, imaging data, and findings during intraoperative exploration, to understand the impact of various shoulder joint physical examination methods and imaging data on rotator cuff injuries

• Study Type: Observational
• Enrollment (Anticipated): 200

Contacts and Locations

• Study Contact: Name: Guoqing Cui, MD; Phone Number: 15611908685; Email: cgq3019@vip.163.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 15 years to 55 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients with shoulder pain who were treated at peking university's Third Hospital outpatient clinic for a continuous period of time

Description

Inclusion Criteria:

• Patients who are prepared to undergo arthroscopic surgery for shoulder injuries

Exclusion Criteria:

• Shoulder stiffness, shoulder instability, calcified tendinitis, past surgery, side-to-shoulder disease, hamada osteoarthritis, frozen shoulder, acute joint injury, rheumatoid arthritis, hyperuricemia

Study Plan

How is the study designed?

Number of groups / cohorts

8

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Patients with shoulder pain who received ER lag sign	Behavioral: several physical examinations; By using physical examinations, the incidence of these physical examinations corresponding to shoulder muscls injury
Patients with shoulder pain who received External rotation resistence strength test	Behavioral: several physical examinations; By using physical examinations, the incidence of these physical examinations corresponding to shoulder muscls injury
Patients with shoulder pain who received Patte's test	Behavioral: several physical examinations; By using physical examinations, the incidence of these physical examinations corresponding to shoulder muscls injury
Patients with shoulder pain who received Errsair test	Behavioral: several physical examinations; By using physical examinations, the incidence of these physical examinations corresponding to shoulder muscls injury
Patients with shoulder pain who received speed test	Behavioral: several physical examinations; By using physical examinations, the incidence of these physical examinations corresponding to shoulder muscls injury
Patients with shoulder pain who received Yergason test	Behavioral: several physical examinations; By using physical examinations, the incidence of these physical examinations corresponding to shoulder muscls injury
Patients with shoulder pain who received backward traction test	Behavioral: several physical examinations; By using physical examinations, the incidence of these physical examinations corresponding to shoulder muscls injury
Patients with shoulder pain who received Cui's test	Behavioral: several physical examinations; By using physical examinations, the incidence of these physical examinations corresponding to shoulder muscls injury

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
the Accuracy of different physical examinations	After apply these physical examinations, by using Arthroscopic examination find the accuracy of these physical examinations	1week

Collaborators and Investigators

• Sponsor: Peking University Third Hospital
• Investigators: Study Director: Guoqing Cui, MD, Peking University Third Hospital

Study record dates

Study Major Dates

• Study Start (Anticipated): September 1, 2021
• Primary Completion (Anticipated): September 1, 2022
• Study Completion (Anticipated): June 1, 2023

Study Registration Dates

• First Submitted: July 21, 2021
• First Submitted That Met QC Criteria: July 21, 2021
• First Posted (Actual): July 22, 2021

Study Record Updates

• Last Update Posted (Actual): July 22, 2021
• Last Update Submitted That Met QC Criteria: July 21, 2021
• Last Verified: July 1, 2021

More Information

Terms related to this study

• Keywords: physical examination; LHBT; Rotator cuff
• Additional Relevant MeSH Terms: Rupture; Shoulder Injuries; Tendon Injuries; Rotator Cuff Injuries; Wounds and Injuries
• Other Study ID Numbers: M2021099

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No