Anterior Shoulder US - a New Access
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Purpose
Investigate Gleno-Humeral Joint (GHJ) by anterior approach:
A - Measurement of GHJ thickness at 3 points and average value calculation on body supine position and with arm supinated, maximal externally rotated with elbow angle 90 degrees
- By longitudinal access with transducer position laterally to coracoids along to the GHJ line, located as diagonal form lower to forward and lateral direction with demonstration the joint cartilage posteriorly and subscapular tendon anteriorly (Fig.4)
- By transversal access with 90 degrees to longitudinal and at 3 points: upper with coracoids visualization, middle and lower (Fig.5-7).
B - Measurement of rotator interval with assessment of width and higher.
- Comparison of the data with results of classic values have been received by posterior and inferior (axillar) approach.
- Comparison of the results between patients with Rheumatoid Arthritis (RA) and healthy controls
| Condition |
|---|
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Rheumatoid Arthritis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | US Investigation of Gleno-humeral Joint by Anterior Access With Measurement of Rotator Interval in Patients With Rheumatoid Arthritis and Healthy Controls |
- Measurement of GHJ thickness and of rotator interval [ Time Frame: Six months ] [ Designated as safety issue: No ]
A - Measurement of GHJ thickness at 3 points and average value calculation on body supine position and with arm supinated, maximal externally rotated with elbow angle 90 degrees
- By longitudinal access with transducer position laterally to coracoids along to the GHJ line, located as diagonal form lower to forward and lateral direction with demonstration the joint cartilage posteriorly and subscapular tendon anteriorly (Fig.4)
- By transversal access with 90 degrees to longitudinal and at 3 points: upper with coracoids visualization, middle and lower (Fig.5-7).
B - Measurement of rotator interval with with assessment of width and higher.
- Data of comparison between measurement of GHJ in anterior and axillar access and anterior and posterior access in patients with Rheumatoid Arthritis and Controls. [ Time Frame: Eight months ] [ Designated as safety issue: No ]
- Data of comparison in measurement of rotator interval in patients with Rheumatoid Arthritis and controls. [ Time Frame: Eight months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Rheumatoid Arthritis
20 patients age of 20-60 with Rheumatoid Arthritis according to ARA 1987 revised criteria and disease activity Disease Activity Score (DAS) 3-5
|
|
Healthy controls participants
Healthy controls age of 20-60 according to conclusion of preventive medicine department
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 20 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
20 healthy controls from department of preventive medicine and 20 patients with Rheumatoid Arthritis age of 20-60
Inclusion Criteria:
- Healthy controls age of 20-60 according to conclusion of preventive medicine department
- Patients with RA according to ARA 1987 revised criteria and disease activity DAS 3-5
Exclusion Criteria:
- Past shoulder trauma
- Shoulder osteoarthritis
- Rotator cuff disorders
- Shoulder injections
- Cervical spondylosis with nerve root compression, Cervical symptomatic disc syndromes
Contacts and Locations| Contact: Alexander Rozin, MD | 972-48542268 | a_rozin@rambam.health.gov.il |
| Israel | |
| Rheumatology unit | Not yet recruiting |
| Haifa, Israel, 31096 | |
| Contact: Alexander Rozin, MD 972-48542268 a_rozin@rambam.health.gov.il | |
| Sub-Investigator: Amir Dagan, MD | |
| Sub-Investigator: Kohava Toledano, MD | |
| Principal Investigator: | Alexander Rozin, MD | Rambam Health Care Campus and Technion |
More Information
No publications provided
| Responsible Party: | Rambam Health Care Campus |
| ClinicalTrials.gov Identifier: | NCT01746966 History of Changes |
| Other Study ID Numbers: | 0260-10CTIL |
| Study First Received: | November 22, 2012 |
| Last Updated: | December 9, 2012 |
| Health Authority: | Israel: Israeli Health Ministry Pharmaceutical Administration |
Keywords provided by Rambam Health Care Campus:
|
gleno-humeral joint synovitis anterior shoulder US rotator interval |
Additional relevant MeSH terms:
|
Arthritis Arthritis, Rheumatoid Joint Diseases Musculoskeletal Diseases |
Rheumatic Diseases Connective Tissue Diseases Autoimmune Diseases Immune System Diseases |
ClinicalTrials.gov processed this record on May 19, 2013