Comparison of the Accuracy of Telehealth Examination Versus Clinical Examination in the Detection of Rotator Cuff Tears

Overview

The purpose of this study is to compare how accurately a pseudo-telehealth shoulder examination diagnoses rotator cuff tears compared to a regular clinical examination. MRI is used as the gold standard.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Cross-Sectional
  • Study Primary Completion Date: November 5, 2020

Interventions

  • Diagnostic Test: Telehealth clinical exam
    • This is a pseudo telehealth clinical exam for patients presenting with shoulder pain
  • Diagnostic Test: Standard clinical exam
    • This is a standard in-person clinical exam for patients presenting with shoulder pain

Arms, Groups and Cohorts

  • Shoulder patients

Clinical Trial Outcome Measures

Primary Measures

  • Agreement with MRI findings as they pertain to presence or absence of a rotator cuff tear
    • Time Frame: Within 1 month of exam
    • % of exams that agreed with the MRI findings

Participating in This Clinical Trial

Inclusion Criteria

  • 40 years of age or older, presenting with shoulder pain, and seen in the Duke Sports Medicine clinic by Dr. Wittstein or Dr. Lassiter Exclusion Criteria:

  • Patient cannot have had prior shoulder arthroplasty, instability or history of fracture/dislocation. Pregnant women will be excluded from the study because there will be an MRI. Anyone unable or unwilling to have an MRI will be excluded from the study.

Gender Eligibility: All

Minimum Age: 40 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Duke University
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Jocelyn Wittstein, MD, Principal Investigator, Duke Health

Citations Reporting on Results

Bradley KE, Cook C, Reinke EK, Vinson EN, Mather RC 3rd, Riboh J, Lassiter T, Wittstein JR. Comparison of the accuracy of telehealth examination versus clinical examination in the detection of shoulder pathology. J Shoulder Elbow Surg. 2021 May;30(5):1042-1052. doi: 10.1016/j.jse.2020.08.016. Epub 2020 Aug 29.

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