Role of Dynamic Ultrasound in Assessment of Shoulder Impingement Syndrome

This study aims to evaluate the effectiveness of dynamic high-resolution ultrasonography in identifying various abnormalities of the shoulder impingement syndrome, especially the subacromial type, and to determine the added value of dynamic ultrasonography compared to static examination of such cases. Furthermore, we will compare these findings to MRI, which we regard as the standard in our cases.

Study Overview

• Status: Not yet recruiting
• Conditions: Shoulder Impingement Syndrome
• Intervention / Treatment: Device: Ultrasound

Detailed Description

Patients with shoulder impingement syndrome often experience pain primarily in the anterior and lateral areas of the acromion, which can radiate to the lateral aspect of the mid-arm. This pain typically worsens at night and when lying on the affected side. Additionally, some patients may experience stiffness and weakness due to the pain.

When assessing a patient with signs of impingement, it is essential to evaluate the condition of the rotator cuff and the extent of any tears. This information allows surgeons to create an effective strategy for ongoing patient management.

Ultrasound (US) and magnetic resonance imaging (MRI) are effective tools for diagnosing rotator cuff disorders, especially when it comes to detecting full-thickness rotator cuff tears, due to their high sensitivity. However, their overall sensitivity for identifying partial rotator cuff tears and tendinopathy is lower. Impingement-related conditions, such as bursitis and changes or ruptures in tendons, can be visualized using a linear sonography.

Ultrasound (US) offers several advantages over MRI. One key benefit is that ultrasonography is a dynamic form of imaging, while MRI provides static images. US is also portable, better tolerated by patients, and allows for direct interaction with patients; this enables patients to point to the symptomatic area, which can enhance diagnostic accuracy. Additionally, ultrasound is less time-consuming, more cost-effective, and more readily available in secondary and tertiary care settings compared to MRI.

• Study Type: Observational
• Enrollment (Estimated): 30

Contacts and Locations

• Study Contact: Name: Robier I Ibrahim, Resident; Phone Number: +201112880380; Email: robbierissac@gmail.com
• Study Contact Backup: Name: Mohamed Z Ali; Phone Number: +201001119166

Study Locations

• Egypt
  • Sohag, Egypt
    • Sohag University Hospital
    • Contact: Magdy M Amin, Professor; Phone Number: +201090801900

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

male and female patients present with shoulder pain with positive clinical tests suggestive of shoulder impingement syndrome

Description

Inclusion Criteria:

• male and female patients present with shoulder pain with positive clinical tests suggestive of shoulder impingement syndrome

Exclusion Criteria:

• History of shoulder surgery, instability disorders, shoulder girdle fracture, radiation therapy to the shoulder, neoplastic lesions, and congenital anomalies of the shoulder. Patients having contraindications to perform MRI (Patients with electrically, magnetically, or mechanically activated implants, pacemakers, cochlear implants, or any metallic orthopedic implants) and claustrophobic patients).

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comparison between Ultrasound findings and Magnetic Resonance Imaging findings in patients with clinical diagnosis of Shoulder Impingement Syndrome	Evaluate the effectiveness of dynamic high-resolution ultrasonography in identifying various abnormalities of the shoulder impingement syndrome and to compare these findings to MRI, which we regard as the standard in our cases	Baseline

Collaborators and Investigators

• Sponsor: Sohag University

Study record dates

Study Major Dates

• Study Start (Estimated): December 26, 2024
• Primary Completion (Estimated): June 30, 2025
• Study Completion (Estimated): June 30, 2025

Study Registration Dates

• First Submitted: December 23, 2024
• First Submitted That Met QC Criteria: December 23, 2024
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: December 23, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Shoulder Injuries; Musculoskeletal Diseases; Wounds and Injuries; Pathologic Processes; Joint Diseases; Disease; Rupture; Tendon Injuries; Rotator Cuff Injuries; Syndrome; Shoulder Impingement Syndrome
• Other Study ID Numbers: Soh-Med--24-12-11MS

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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