Publication: Diagnostic accuracy of fresno-quebec rules and risk factors for an associated fracture in patients presenting to the emergency department with anterior shoulder dislocation: A retrospective study
dc.contributor.buuauthor | Durak, Vahide Aslihan | |
dc.contributor.buuauthor | DURAK, VAHİDE ASLIHAN | |
dc.contributor.buuauthor | Atici, Teoman | |
dc.contributor.buuauthor | ATICI, TEOMAN | |
dc.contributor.department | Bursa Uludağ Üniversitesi/Tıp Fakültesi/Acil Tıp Anabilim Dalı. | |
dc.contributor.department | Bursa Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı. | |
dc.contributor.orcid | 0000-0003-0836-7862 | |
dc.contributor.orcid | 0000-0002-3396-3407 | |
dc.contributor.researcherid | AAE-9483-2021 | |
dc.date.accessioned | 2024-06-27T12:50:39Z | |
dc.date.available | 2024-06-27T12:50:39Z | |
dc.date.issued | 2021-01-01 | |
dc.description.abstract | BACKGROUND: Anterior shoulder dislocation is the most common shoulder injury in patients presenting to the emergency department (ED). Up to 25% of these injuries are fracture-dislocations. In general, the standard approach is to obtain plain radiographs before and after reduction. Fresno-Quebec Rules (FQR) are described to identify the patients who require an x-ray before reduction to reduce radiation exposure and delays in treatment. We aimed to evaluate the efficacy of clinical predictors used in the Fresno-Quebec algorithm for detecting a shoulder fracture-dislocation.METHODS: Records of patients who presented to the Emergency Department with presumed shoulder dislocation were retrieved and retrospectively analyzed according to 'Fresno-Quebec Rule (FQR)'. Sensitivity, specificity, and predictive values of FQR for detecting associated injuries were calculated.RESULTS: Eighty-nine (65.9%) men and 46 (34.1%) women were included. The mean age of patients was 46 years (16-89). Ninety-nine (73.3%) of the cases had their shoulder dislocated for the first time, whereas 36 (26.7%) patients had a recurrent dislocation. Fifty percent of the patients (18 cases) with recurrent dislocation presented with an atraumatic episode. The remaining 18 patients with a history of recurrent dislocations had their shoulder dislocated as a result of trauma, and four (22%) of them had fracture-dislocation. Using the Fresno-Quebec rules yielded 100% specificity for the diagnosis of fracture-dislocation. The severity of the injury mechanism was not predictive in traumatic but recurrent dislocations. Only one of four patients with a fracture-dislocation in the traumatic recurrent dislocation group had high energy trauma.CONCLUSION: FQR has 100% sensitivity in detecting fracture-dislocations in patients admitted to ED with anterior shoulder dislocation. It utilizes simple parameters that are easy to use and recall. Using these rules, 30% of unnecessary radiographs can be avoided, saving time and money and reducing radiation exposure in anterior dislocations. | |
dc.identifier.doi | 10.14744/tjtes.2020.29402 | |
dc.identifier.endpage | 121 | |
dc.identifier.issn | 1306-696X | |
dc.identifier.issue | 1 | |
dc.identifier.startpage | 115 | |
dc.identifier.uri | https://doi.org/10.14744/tjtes.2020.29402 | |
dc.identifier.uri | https://hdl.handle.net/11452/42532 | |
dc.identifier.volume | 27 | |
dc.identifier.wos | 000604992400020 | |
dc.indexed.wos | WOS.SCI | |
dc.language.iso | en | |
dc.publisher | Turkish Assoc Trauma Emergency Surgery | |
dc.relation.journal | Ulusal Travma Ve Acil Cerrahi Dergisi-turkish Journal Of Trauma & Emergency Surgery | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | Radiographs | |
dc.subject | Dangerous mechanism of injury | |
dc.subject | Fresno-quebec | |
dc.subject | Humerus fracture reduction | |
dc.subject | Shoulder dislocation | |
dc.subject | Science & technology | |
dc.subject | Life sciences & biomedicine | |
dc.subject | Emergency medicine | |
dc.subject | Emergency medicine | |
dc.title | Diagnostic accuracy of fresno-quebec rules and risk factors for an associated fracture in patients presenting to the emergency department with anterior shoulder dislocation: A retrospective study | |
dc.type | Article | |
dspace.entity.type | Publication | |
relation.isAuthorOfPublication | fef584c2-9e17-4aaf-a681-04eda6a3ea30 | |
relation.isAuthorOfPublication | ac435e38-cf12-4daf-9c63-b2173adafd98 | |
relation.isAuthorOfPublication.latestForDiscovery | fef584c2-9e17-4aaf-a681-04eda6a3ea30 |