The current standard of the shoulder trauma series in Ireland - A national audit.

Autor: Mc Colgan R; St. Vincent's University Hospital, Elm Park, Dublin 4, D04 T6F4, Ireland. Electronic address: mccolgar@tcd.ie., O'Halloran AS; Connolly Hospital Blanchardstown, Mill Road, Blanchardstown, Dublin, D15 X40D, Ireland., Carroll PJ; St. Vincent's University Hospital, Elm Park, Dublin 4, D04 T6F4, Ireland., Kaar K; University Hospital Galway, Newcastle Road, Galway, H91 YR71, Ireland., O'Shea K; St. Vincent's University Hospital, Elm Park, Dublin 4, D04 T6F4, Ireland.
Jazyk: angličtina
Zdroj: The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland [Surgeon] 2024 Oct; Vol. 22 (5), pp. e159-e163. Date of Electronic Publication: 2024 Apr 26.
DOI: 10.1016/j.surge.2024.04.009
Abstrakt: Objectives/aims: The primary aim of this study was to assess the current standard of shoulder radiographs in Ireland. The secondary aim of this study was to determine whether orthopaedic surgeons in Ireland are of the opinion that a national protocol is required, and what this protocol should consist of.
Methods: A national audit of shoulder trauma series x-rays performed in emergency departments was conducted. The number and type of views performed was recorded. The anteroposterior (AP) and axillary or Velpeau views were assessed to determine if they met pre-defined audit criteria. Consultant orthopaedic surgeons working in public trauma hospitals were invited to participate in an online survey by email.
Results: The number of shoulder trauma series included in this audit was 789. The majority of patients had two views performed (75.92%, n ​= ​599) and 21.17% (n ​= ​167) had an axillary or Velpeau view. The AP view met the audit criteria in 23.09% (n ​= ​181) of cases. The survey response rate was 70.8% (n ​= ​17). 88.2% (n ​= ​15) of surgeons agreed that three views should be performed for a shoulder trauma series and 94.12% (n ​= ​16) agreed that an axillary or Velpeau view should be included. The majority of surgeons surveyed (94%, n ​= ​16) are in favour of establishing a national protocol.
Conclusion: The current standard shoulder trauma series in Irish hospitals consists of two views, most frequently a thoracic AP and a scapular Y view. We propose the introduction of a national protocol consisting of three views: Grashey AP, Scapular Y, and an axillary or Velpeau view.
Competing Interests: Declaration of competing interest The authors have no conflict of interest to declare.
(Copyright © 2024 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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