Predictors of Oldrini et al for Fracture in a Patient with Shoulder Dislocation

Description

Oldrini et al reported predictors for fracture in a patient with shoulder dislocation. This can help to identify a patient who may warrant a closer evaluation. The authors are from the University of Warwick, Oxford University Hospitals NHS Foundation Trust, and University of Oxford.

Patient selection: shoulder dislocation

Predictors of fracture:

(1) age > 40 years

(2) female sex

(3) first-time shoulder dislocation (

(4) presence of humeral ecchymosis

(5) high risk mechanism of injury (high-energy fall, fall > 1 flight of stairs, motor vehicle accident)

Predictor	+ Likelihood Ratio	(-) Likelihood Ratio
age > 40 years	1.8	0.4
female sex	2.0	0.7
first-time dislocation	1.7	0.2
humeral ecchymosis	3.0 to 5.7	0.8 to 1.1
high-energy fall	2.0 to 9.8	0.4 to 0.8
fall > 1 flight of stairs	3.9	1.0
motor vehicle accident	2.3	0.9

To read more or access our algorithms and calculators, please log in or register.

Predictors of Oldrini et al for Fracture in a Patient with Shoulder Dislocation

Description

Specialty