Skillful Neglect Vs Repair For Subscapularis Tear Associated With Posterosuperior Cuff Tears Repair.
NCT ID: NCT05960812
Last Updated: 2023-09-22
Study Results
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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UNKNOWN
NA
30 participants
INTERVENTIONAL
2022-09-30
2024-09-26
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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group 1 (patient treated by skillful neglect with biceps tenotomy)
neglect of upper border subscapularis tear and doing biceps tenotomy
skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .
The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear conservative treatment which is considered the standard technique.
* Semisetting position under GA.
* Standard shoulder arthroscopy with standard portals for RC repair.
* Inspection of articular surface of rotator cuff and biceps tendon.
* Bursectomy, visualization of all rotators.
* Mobilization is done for associated rotator tears by shaver and radiofrequency device.
* Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear.
* Skillful neglect to the tear.
* Rotator repair technique by RC anchors
* Biceps Tenotomy will be done in all cases by cutting of LHBT.
arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .
The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear repair which is considered the standard technique.
* Semisetting position under GA.
* Standard shoulder arthroscopy with standard portals for RC repair.
* Inspection of articular surface of rotator cuff and biceps tendon.
* Bursectomy, visualization of all rotators.
* Mobilization is done for associated rotator tears by shaver and radiofrequency device.
* Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear.
* Skillful neglect to the tear.
* Rotator repair technique by RC anchors
* Biceps Tenotomy will be done in all cases by cutting of LHBT.
group 2 (patient treated by arthroscopic repair with biceps tenotomy)
repair of upper border subscapularis tear and doing biceps tenotomy
skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .
The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear conservative treatment which is considered the standard technique.
* Semisetting position under GA.
* Standard shoulder arthroscopy with standard portals for RC repair.
* Inspection of articular surface of rotator cuff and biceps tendon.
* Bursectomy, visualization of all rotators.
* Mobilization is done for associated rotator tears by shaver and radiofrequency device.
* Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear.
* Skillful neglect to the tear.
* Rotator repair technique by RC anchors
* Biceps Tenotomy will be done in all cases by cutting of LHBT.
arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .
The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear repair which is considered the standard technique.
* Semisetting position under GA.
* Standard shoulder arthroscopy with standard portals for RC repair.
* Inspection of articular surface of rotator cuff and biceps tendon.
* Bursectomy, visualization of all rotators.
* Mobilization is done for associated rotator tears by shaver and radiofrequency device.
* Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear.
* Skillful neglect to the tear.
* Rotator repair technique by RC anchors
* Biceps Tenotomy will be done in all cases by cutting of LHBT.
Interventions
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skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .
The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear conservative treatment which is considered the standard technique.
* Semisetting position under GA.
* Standard shoulder arthroscopy with standard portals for RC repair.
* Inspection of articular surface of rotator cuff and biceps tendon.
* Bursectomy, visualization of all rotators.
* Mobilization is done for associated rotator tears by shaver and radiofrequency device.
* Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear.
* Skillful neglect to the tear.
* Rotator repair technique by RC anchors
* Biceps Tenotomy will be done in all cases by cutting of LHBT.
arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .
The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear repair which is considered the standard technique.
* Semisetting position under GA.
* Standard shoulder arthroscopy with standard portals for RC repair.
* Inspection of articular surface of rotator cuff and biceps tendon.
* Bursectomy, visualization of all rotators.
* Mobilization is done for associated rotator tears by shaver and radiofrequency device.
* Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear.
* Skillful neglect to the tear.
* Rotator repair technique by RC anchors
* Biceps Tenotomy will be done in all cases by cutting of LHBT.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patients with other intra-articular pathology like SLAP lesions.
* Neural damage (Brachial plexus injury).
* Revision cases.
* Patient with subscapularis border tear type 3, type 4, and type 5.
40 Years
70 Years
ALL
No
Sponsors
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Mohamed Ashraf Abdallah
OTHER
Responsible Party
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Mohamed Ashraf Abdallah
Principal investigator
Principal Investigators
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mohamed as abdallah, master
Role: PRINCIPAL_INVESTIGATOR
Ain Shams University
Amr Mo Abdelhady
Role: STUDY_CHAIR
Ain Shams University
Maged Mo Samy
Role: STUDY_DIRECTOR
Ain Shams University
Mohamed Ha Sobhy
Role: STUDY_DIRECTOR
Ain Shams University
Yahia Mo Haroun
Role: STUDY_DIRECTOR
Ain Shams University
Locations
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Ain Shams University Hospitals
Cairo, , Egypt
Countries
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Central Contacts
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Yahia Mo Haroun
Role: CONTACT
Facility Contacts
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Other Identifiers
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FMASU MD 218/2022
Identifier Type: -
Identifier Source: org_study_id
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