[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100636310":3},{"organization":4,"armGroups":7,"interventions":15,"overallOfficials":10,"centralContacts":25,"locations":31,"responsibleParty":46,"collaborators":10,"id":50,"slug":51,"hasResults":52,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":56,"eligibilityCriteria":57,"healthyVolunteers":52,"sex":58,"minAge":59,"maxAge":10,"enrollmentInfo":60,"targetDuration":10,"studyType":63,"phases":10,"briefSummary":64,"conditions":65,"keywords":67,"overallStatus":71,"whyStopped":10,"lastUpdateSubmitDate":72,"lastUpdatePostDateStruct":73,"startDateStruct":76,"completionDateStruct":78,"leadSponsor":80,"locationsCount":81},{"fullName":5,"class":6},"Cairo University","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Clinical Decision Rule",null,"All participants will undergo standardized assessment using the SFER clinical decision rule",[13,14],"Diagnostic Test: The SFER clinical decision rule","Diagnostic Test: X - ray",[16,21],{"type":17,"name":18,"description":19,"armGroupLabels":20,"otherNames":10},"DIAGNOSTIC_TEST","The SFER clinical decision rule","All participants will undergo assessment using a structured clinical decision framework designed to stratify patients with acute shoulder trauma into high- and low-risk categories for fracture.\n\nIn the initial stage, patients will be screened for high-risk features based on demographic factors, symptom severity, and mechanism of injury. Individuals meeting any high-risk criteria will be referred for immediate radiographic evaluation.\n\nPatients not classified as high-risk will proceed to a secondary functional assessment stage. This stage incorporates a series of standardized clinical tests evaluating range of motion, localized tenderness, functional loading capacity, and soft tissue signs. Fracture will be considered unlikely only when all functional criteria are within normal limits.\n\nRadiographic imaging will be indicated if any abnormal finding is identified during assessment. All variables will be predefined and recorded using standardized criteria to ensure reproducibility and minim",[9],{"type":17,"name":22,"description":23,"armGroupLabels":24,"otherNames":10},"X - ray","Radiographic imaging (X-ray) will be performed for all participants and will serve as the reference standard for fracture diagnosis. Radiographs will be interpreted by qualified radiologists who will be blinded to the results of the clinical assessment to reduce diagnostic bias.",[9],[26],{"name":27,"role":28,"phone":29,"phoneExt":10,"email":30},"Ahmed Samir, BPT","CONTACT","+201158440335","dr.ahmedsamer@icloud.com",[32],{"facility":33,"status":10,"city":34,"state":10,"zip":10,"country":35,"countryCode":36,"cosmosGeoPoint":37,"geoPoint":42,"contacts":43},"El - Helal Hospital","Cairo","Egypt","EG",{"type":38,"coordinates":39},"Point",[40,41],31.24967,30.06263,{"lat":41,"lon":40},[44],{"name":27,"role":28,"phone":45,"phoneExt":10,"email":30},"201158440335",{"type":47,"investigatorFullName":48,"investigatorTitle":49,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Ahmed Samir","Head of Research Unit","100636310","clinical-decision-rule-for-excluding-shoulder-fractures-100636310",false,"NCT07564024","Clinical Decision Rule for Excluding Shoulder Fractures","Development and External Validation of a Clinical Decision Rule for Excluding Shoulder Fractures: A Prospective Multicentre Diagnostic Accuracy and Cost-Effectiveness Study (SFER Study)","SFER","Inclusion Criteria:\n\n* Adult patients aged 18 years or older presenting with acute shoulder trauma within 7 days of injury will be eligible for inclusion\n\nExclusion Criteria:\n\n\\- Patients with polytrauma, previous shoulder surgery, open fractures, or inability to cooperate with clinical assessment will be excluded.","ALL","18 Years",{"count":61,"type":62},1216,"ESTIMATED","OBSERVATIONAL","Many patients with shoulder injuries undergo X-rays even when fractures are unlikely, leading to unnecessary costs and delays in care. This study aims to develop a simple and reliable clinical tool to help healthcare providers determine when imaging is not required. By evaluating this tool in a large number of patients, we aim to improve patient care, reduce waiting times, and optimize the use of healthcare resources.",[66],"Shoulder Fractures",[68,9,66,69,70],"Validation","Diagnostic Accurac","and Cost-Effectiveness","NOT_YET_RECRUITING","2026-04-26",{"date":74,"type":75},"2026-05-04","ACTUAL",{"date":77,"type":62},"2026-07-01",{"date":79,"type":62},"2026-12-01",{"name":5,"class":6},1]