The Maastricht Ultrasound Shoulder pain trial (MUST): Ultrasound imaging as a diagnostic triage tool to improve management of patients with non-chronic shoulder pain in primary care
2011

Improving Shoulder Pain Management with Ultrasound

Sample size: 226 publication Evidence: moderate

Author Information

Author(s): Ottenheijm Ramon PG, Joore Manuela A, Walenkamp Geert HIM, Weijers René E, Winkens Bjorn, Cals Jochen WL, de Bie Rob A, Dinant Geert-Jan

Primary Institution: Maastricht University

Hypothesis

The current stepwise approach to shoulder pain management can be improved by using ultrasound imaging to provide evidence of the patho-anatomical origin of symptoms.

Conclusion

The study aims to assess the cost-effectiveness of using ultrasound imaging as a diagnostic tool to improve the management of non-chronic shoulder pain in primary care.

Supporting Evidence

  • Shoulder pain is a common issue in primary care, affecting 17-20% of the general population.
  • 70% of patients with a new episode of shoulder pain show incomplete recovery within six weeks.
  • Ultrasound is an accurate method for diagnosing shoulder pain and can help tailor treatments.

Takeaway

This study is trying to find out if using ultrasound can help doctors treat shoulder pain better and save money.

Methodology

This is a randomized controlled trial involving 226 adult patients with suspected subacromial disorders, comparing tailored treatment based on ultrasound results to usual care.

Potential Biases

Information bias may occur as patients cannot be blinded to their treatment allocation.

Limitations

The study may face challenges in patient recruitment and the accuracy of ultrasound is operator dependent.

Participant Demographics

Adult patients aged 18 to 65 with shoulder pain lasting less than three months.

Digital Object Identifier (DOI)

10.1186/1471-2474-12-154

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