Point-of-care ultrasound for the diagnosis of shoulder dislocation: A systematic review and meta-analysis

Gottlieb, Michael; Holladay, Dallas; Peksa, Gary D.

doi:10.1016/j.ajem.2019.02.024

Cited by 39 publications

(32 citation statements)

References 24 publications

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“…POCUS has been proposed to decrease the need for radiography and improve efficiency [2]. Increasing interest in this application of POCUS followed the publication of a recent meta-analysis (which reported a high degree of accuracy for both detection of dislocations and fractures) [1]. However, as highlighted by Weingrow and Franco's editorial, 48% of fractures were not reliably identified in this study, raising concerns for the use of POCUS alone in the management of suspected shoulder dislocations.…”

Section: Contextmentioning

confidence: 78%

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Does musculoskeletal ultrasound play a role in diagnosing and managing shoulder dislocations?

2021

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Section: Contextmentioning

confidence: 78%

“…Point-of-care ultrasound (POCUS) is emerging as a highly sensitive and specific modality for diagnosing shoulder dislocations [1,2].…”

Section: Introductionmentioning

confidence: 99%

Does musculoskeletal ultrasound play a role in diagnosing and managing shoulder dislocations?

2021

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“…One meta-analysis on the use of PoCUS on patients with shoulder dislocations included seven studies ( n = 739), and showed 99.1% sensitivity and 99.8% specificity when compared to X-ray [196]. The accuracy was similar for associated fractures, but one could not determine the clinical significance due to wide confidence intervals.…”

Section: Resultsmentioning

confidence: 99%

Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations

Sorensen¹,

Hunskaar

2019

Ultrasound J

109

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Background: Both the interest and actual extent of use of point-of-care ultrasound, PoCUS, among general practitioners or family physicians are increasing and training is also increasingly implemented in residency programs. However, the amount of research within the field is still rather limited compared to what is seen within other specialties in which it has become more established, such as in the specialty of emergency medicine. An assumption is made that what is relevant for emergency medicine physicians and their populations is also relevant to the general practitioner, as both groups are generalists working in unselected populations. This systematic review aims to examine the extent of use and to identify clinical studies on the use of PoCUS by either general practitioners or emergency physicians on indications that are relevant for the former, both in their daily practice and in out-of-hours services.Methods: Systematic searches were done in PubMed/MEDLINE using terms related to general practice, emergency medicine, and ultrasound. Results:On the extent of use, we identified 19 articles, as well as 26 meta-analyses and 168 primary studies on the clinical use of PoCUS. We found variable, but generally low, use among general practitioners, while it seems to be thoroughly established in emergency medicine in North America, and increasingly also in the rest of the world. In terms of clinical studies, most were on diagnostic accuracy, and most organ systems were studied; the heart, lungs/ thorax, vessels, abdominal and pelvic organs, obstetric ultrasound, the eye, soft tissue, and the musculoskeletal system. The studies found in general either high sensitivity or high specificity for the particular test studied, and in some cases high total accuracy and superiority to other established diagnostic imaging modalities. PoCUS also showed faster time to diagnosis and change in management in some studies. Conclusion:Our review shows that generalists can, given a certain level of pre-test probability, safely use PoCUS in a wide range of clinical settings to aid diagnosis and better the care of their patients. which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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“…Although in the past, shoulder radiography was seen as the preferred method of diagnosing SDs, in the present day, the sensitivity and specificity of POCUS in identifying SDs is 100%. Much like the diagnosis of an SD via a shoulder radiograph, POCUS also features a picture of the shoulder joint with the humeral head clearly misaligned relative to the glenoid [9][10][11][12]. An anterior SD is identified by a humeral head that is "deeper" than the adjacent glenoid fossa.…”

Section: Figure 3: Infographic Summarizing Potential Long-term Complications Associated With Hill-sachs Lesionmentioning

confidence: 99%

Anterior Shoulder Dislocation Complicated by Hill-Sachs Lesion

Iftikhar

Stead

Ganti³

et al. 2021

Cureus

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We present the case of a 60-year-old woman with a Hill-Sachs lesion caused by an anterior shoulder dislocation (SD) as a result of her falling on her left shoulder at a local restaurant. While the diagnosis of an anterior SD is commonplace, the involvement of a Hill-Sachs lesion can complicate the treatment needed to manage the SD. Crucial aspects of treatment include performing closed reduction followed by acute immobilization in a timely manner and prompt consultation with orthopedic surgery.

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Point-of-care ultrasound for the diagnosis of shoulder dislocation: A systematic review and meta-analysis

Cited by 39 publications

References 24 publications

Does musculoskeletal ultrasound play a role in diagnosing and managing shoulder dislocations?

Does musculoskeletal ultrasound play a role in diagnosing and managing shoulder dislocations?

Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations

Anterior Shoulder Dislocation Complicated by Hill-Sachs Lesion

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