Surgery or Capsular Distention With Steroid in the Treatment of Primary Frozen Shoulder?

NCT ID: NCT01029600

Last Updated: 2009-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2012-04-30

Brief Summary

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The purpose of the study is to compare two different treatment regimens for primary frozen shoulder: Arthroscopic capsulotomy and arthrographic distention with steroid.

Detailed Description

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Patients with primary frozen shoulder will be randomized to two different treatments and the outcome will be measured.

Conditions

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Adhesive Capsulitis

Keywords

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Randomized study capsulotomy vs distention with steroid

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Arthroscopic Capsulotomy

Arthroscopic capsular release

Group Type ACTIVE_COMPARATOR

Arthroscopic capsular release

Intervention Type PROCEDURE

Surgical division of thickened capsule in the shoulder

Distention with steroid

Arthrographic distention with contrast, saline, steroid and local anaesthetic

Group Type ACTIVE_COMPARATOR

Distention with steroid

Intervention Type PROCEDURE

Intraarticular distention with steroid, saline, contrast and local anaesthetic

Interventions

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Arthroscopic capsular release

Surgical division of thickened capsule in the shoulder

Intervention Type PROCEDURE

Distention with steroid

Intraarticular distention with steroid, saline, contrast and local anaesthetic

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. The patient must have understood all information about the project and must have signed the informed consent letter about participation in the study including rehabilitation and follow-up
2. The patients must have a history and clinical findings typical for primary frozen shoulder with globally reduced range of motion in the shoulder.

* External rotation 20 degrees or less
* Abduction 45 degrees or less
3. The patients must not be in phase 1 (inflammation phase)
4. Diabetics may be included
5. MRI must be taken to exclude other reasons for stiffness

Exclusion Criteria

1. Other reasons for stiffness( cuff rupture, arthritis)
2. Posttraumatic or postoperative stiffness
3. Patients not suited for day surgery
4. Patients with a history of subacromial impingement before developing stiffness
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Haraldsplass Deaconess Hospital

OTHER

Sponsor Role collaborator

Haukeland University Hospital

OTHER

Sponsor Role collaborator

Bergen Surgical Hospital

OTHER

Sponsor Role lead

Responsible Party

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Bergen Surgical Hospital

Principal Investigators

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Eirik J Solheim, MD, PhD

Role: STUDY_CHAIR

University of Bergen, Surgical Dept.

Leiv Hove, MD, PhD

Role: STUDY_DIRECTOR

University of Bergen, Surgical Dept.

Locations

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Haraldsplass Deaconess Hospital

Bergen, Hordaland, Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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Ove K Austgulen, MD

Role: CONTACT

Phone: +4793232026

Email: [email protected]

Jannike Øyen, M Sc

Role: CONTACT

Facility Contacts

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Jesper Blomquist, MD

Role: primary

References

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Codman EA. The Shoulder: Rupture of the Supraspinatus Tendon and Other Lesions In or About the Subacromial Bursa. Boston: Thomas Todd Co; 1934.

Reference Type BACKGROUND

Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis. 1972 Jan;31(1):69-71. doi: 10.1136/ard.31.1.69. No abstract available.

Reference Type BACKGROUND
PMID: 5008469 (View on PubMed)

Moren-Hybbinette I, Moritz U, Schersten B. The clinical picture of the painful diabetic shoulder--natural history, social consequences and analysis of concomitant hand syndrome. Acta Med Scand. 1987;221(1):73-82. doi: 10.1111/j.0954-6820.1987.tb01247.x.

Reference Type BACKGROUND
PMID: 2436441 (View on PubMed)

Grey RG. The natural history of "idiopathic" frozen shoulder. J Bone Joint Surg Am. 1978 Jun;60(4):564. No abstract available.

Reference Type RESULT
PMID: 670287 (View on PubMed)

Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol. 1975;4(4):193-6. doi: 10.3109/03009747509165255.

Reference Type RESULT
PMID: 1198072 (View on PubMed)

Binder AI, Bulgen DY, Hazleman BL, Roberts S. Frozen shoulder: a long-term prospective study. Ann Rheum Dis. 1984 Jun;43(3):361-4. doi: 10.1136/ard.43.3.361.

Reference Type RESULT
PMID: 6742896 (View on PubMed)

Duplay ES. De la periarthrite scapulo-humérale et des raideurs de l'épaule qui en sont la conséquence. Arch Gen Med 1872;20:513-42.

Reference Type RESULT

Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ. 2005 Dec 17;331(7530):1453-6. doi: 10.1136/bmj.331.7530.1453.

Reference Type RESULT
PMID: 16356983 (View on PubMed)

Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am. 1992 Jun;74(5):738-46.

Reference Type RESULT
PMID: 1624489 (View on PubMed)

Pal B, Anderson J, Dick WC, Griffiths ID. Limitation of joint mobility and shoulder capsulitis in insulin- and non-insulin-dependent diabetes mellitus. Br J Rheumatol. 1986 May;25(2):147-51. doi: 10.1093/rheumatology/25.2.147.

Reference Type RESULT
PMID: 3708230 (View on PubMed)

Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br. 1995 Sep;77(5):677-83.

Reference Type RESULT
PMID: 7559688 (View on PubMed)

Other Identifiers

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2009/870

Identifier Type: -

Identifier Source: org_study_id