This poster was originally presented at the RANZCR Annual Scientific Meeting 2011, October 6-9, in Melbourne/AU.
Congress:
RANZCR ASM 2011
Keywords:
Musculoskeletal bone, Musculoskeletal joint, Emergency, Digital radiography, Conventional radiography, Decision analysis, Athletic injuries, Trauma
Authors:
N. Kutaiba1, J. Cruickshank1, D. Arhanghelschi1, A. Al Joboory2; 1Ballarat/AU, 2Melbourne/AU
DOI:
10.1594/ranzcr2011/R-0104
Methods and Materials
Literature review:
We conducted a literature search for guidelines and recommendations for ordering shoulder x-rays in the setting of a suspected shoulder dislocation.
We searched the literature in Medline via Ovid and PubMed,
Cochrane Library,
Embase and Google Scholar.
Search results were screened by title and abstract then relevant articles were retrieved.
References of these articles were then screened in a similar manner to look for relevant articles.
Clinical factors predicting fracture-dislocations and guidelines for pre- and post-reduction radiography were then identified.
Algorithms for guidelines and recommendations were also identified.
Retrospective evaluation:
Ballarat Base is the second largest regional hospital inVictoriawith about 55,000 visits per year to the emergency department.
Demographic data and clinical predictors identified from retrieved articles were used to create a data collection form.
This form was used to perform a chart review for patients who presented to our ED with a final diagnosis of shoulder dislocation over a period of twelve months,
January 2010 through December 2010.
Epidemiological data and clinical outcome for these patients were evaluated and then applied against recommended algorithms and guidelines to evaluate current practice.
Interpretation of x-rays to confirm diagnoses and identify associated fractures was based on corresponding radiological reports.
Ratios and percentages of ordered x-rays were calculated.
Clinical presentations of these patients were also applied against the algorithms retrieved to assess their validity in this population.