Diagnostic Utility of Musculoskeletal Ultrasound in Early Postoperative Evaluation of Posttraumatic Repaired Hand Tendons.

Condition(s) studied

Investigational drug(s) / intervention(s)

MSK US: Focus on early postoperative (first 6-12 weeks) assessment after post-traumatic tendon repair. Utilization of high-frequency dynamic ultrasound rather than static imaging or delayed MRI. Standardized scanning protocol and blinded interpretation to ensure diagnostic validity. Designed to evaluate the diagnostic utility of MSK-US compared with conventional clinical follow-up methods.

Study summary

To evaluate the role of musculoskeletal ultrasound in the early postoperative period following hand tendon repair. By assessing its diagnostic accuracy and clinical utility, the study seeks to determine whether routine MSK-US surveillance can contribute to earlier detection of complications, guide timely management decisions, and ultimately improve functional outcomes in patients undergoing hand tendon surgery.

Eligibility

Primary outcome measure(s)

• Diagnostic accuracy of musculoskeletal ultrasound (MSK-US) for detecting clinically significant postoperative complications — Up to 12 weeks after surgical repair
  The accuracy of musculoskeletal ultrasound (MSK-US) in identifying clinically significant postoperative complications following surgical repair of posttraumatic hand tendons. Complications include rerupture requiring reintervention, deep infection, symptomatic adhesion requiring surgical release, and large seroma or hematoma requiring drainage or evacuation. Diagnostic accuracy will be determined by comparing MSK-US findings to a composite clinical reference standard consisting of surgical findings, clinical assessment, and microbiological/imaging confirmation. Accuracy measures will include sensitivity, specificity, positive predictive value, negative predictive value, and likelihood ratios.

Trial sites (1)

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