Rotator Cuff Integrity and Clinical Outcomes 5 Years After Repair.

NCT ID: NCT05988541

Last Updated: 2025-05-22

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

COMPLETED

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-03

Study Completion Date

2024-09-01

Brief Summary

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The study gives an overview of surgically treated rotator cuff injury patients in Tartu University Hospital Sports Traumatology Centre during 2013-2019 and evaluates the integrity of rotator cuff at minimum 5 years after atraumatic rotator cuff tendon repair.

First stage of the study describes the study population, etiology of the injury (traumatic/atraumatic) and aims to answer the question whether the arthroscopic findings are in line with the preoperative imaging studies or not.

Second stage of the study focuses on atraumatic tendon tears assessing structural integrity of the tendons 5 years after repair using ultrasound imaging. The main question is - does the findings correlate with clinical outcomes and patient satisfaction.

Participants of the second phase of the study will be asked for an appointment to have their shoulders examined with ultrasonography and clinical outcomes are measured using the American Shoulder and Elbow Surgeons (ASES) Score, The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and The Constant-Murley score (CMS).

Detailed Description

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High numbers of re-tear after rotator cuff surgery have been shown, though not always influencing patient satisfaction. If there is an atraumatic tendon tear, the risk of having a contralateral rotator cuff tendon tear is high.

The aim is to study surgically treated rotator cuff injury patients 5 years after repair to evaluate tendon integrity on ultrasonography and answer the question do the findings correlate with functionality and patient satisfaction. It has been shown that people over the age of 66 who have been diagnosed with rotator cuff tendon tear, have up to 50 % chance of having a rotator cuff tendon tear in contralateral shoulder (Yamaguchi, et al. 2006). Therefore the study will evaluate the function and the integrity of the rotator cuff in both shoulders.

Conditions

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Rotator Cuff Tears Rotator Cuff Injuries Rotator Cuff Tear or Rupture, Not Specified as Traumatic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Atraumatic rotator cuff tendon repair

Ultrasonography imaging of the operated shoulder

Group Type OTHER

Ultrasonography imaging

Intervention Type DIAGNOSTIC_TEST

Ultrasonography: rotator cuff tendons (supraspinatus, infraspinatus, subscapularis) integrity, long head of the biceps tendon integrity and location, SASD (subacromial-subdeltoid) bursitis, synovitis and muscle atrophy.

American Shoulder and Elbow Surgeons (ASES) Score

Intervention Type DIAGNOSTIC_TEST

The patient self-assessment (pASES) includes 6 pain items and 10 functional items that are shoulder specific (Angst, 2008).

The pASES form has 3 sections: pain, instability, ADLs (Goldhahn, 2008).

1. Pain section: 4 questions with yes/no responses, 1 question covering number of pain tablets per day, and a VAS (visual analogue scale) from 0 (no pain) to 10 (worst pain).
2. Instability section: 2 questions (1. Response yes/no about feelings of instability, 2. Quantify instability from 0 (stable) to 10 (very unstable)).
3. Activities of daily living (ADLs): Each shoulder is included (affected/non affected), 10 items, with a 4 point ordinal scale, range: 0 (unable to perform activity) to 3 (no difficulty in doing activity) (Goldhahn 2008).

The Constant-Murley score (CMS)

Intervention Type DIAGNOSTIC_TEST

The test is divided into four subscales: pain (15 points), activities of daily living (ADL) (20 points), strength (25 points) and range of motion: forward elevation, external rotation, abduction and internal rotation of the shoulder (40 points).

The Disabilities of the Arm, Shoulder and Hand (DASH)

Intervention Type DIAGNOSTIC_TEST

30-item self-report questionnaire designed to assess symptoms and function of the entire upper extremity.

Total scores range from 0 (minimum) to (100) maximum.

Contralateral shoulder

Ultrasonography imaging of the contralateral shoulder

Group Type OTHER

Ultrasonography imaging

Intervention Type DIAGNOSTIC_TEST

Ultrasonography: rotator cuff tendons (supraspinatus, infraspinatus, subscapularis) integrity, long head of the biceps tendon integrity and location, SASD (subacromial-subdeltoid) bursitis, synovitis and muscle atrophy.

American Shoulder and Elbow Surgeons (ASES) Score

Intervention Type DIAGNOSTIC_TEST

The patient self-assessment (pASES) includes 6 pain items and 10 functional items that are shoulder specific (Angst, 2008).

The pASES form has 3 sections: pain, instability, ADLs (Goldhahn, 2008).

1. Pain section: 4 questions with yes/no responses, 1 question covering number of pain tablets per day, and a VAS (visual analogue scale) from 0 (no pain) to 10 (worst pain).
2. Instability section: 2 questions (1. Response yes/no about feelings of instability, 2. Quantify instability from 0 (stable) to 10 (very unstable)).
3. Activities of daily living (ADLs): Each shoulder is included (affected/non affected), 10 items, with a 4 point ordinal scale, range: 0 (unable to perform activity) to 3 (no difficulty in doing activity) (Goldhahn 2008).

The Constant-Murley score (CMS)

Intervention Type DIAGNOSTIC_TEST

The test is divided into four subscales: pain (15 points), activities of daily living (ADL) (20 points), strength (25 points) and range of motion: forward elevation, external rotation, abduction and internal rotation of the shoulder (40 points).

The Disabilities of the Arm, Shoulder and Hand (DASH)

Intervention Type DIAGNOSTIC_TEST

30-item self-report questionnaire designed to assess symptoms and function of the entire upper extremity.

Total scores range from 0 (minimum) to (100) maximum.

Interventions

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Ultrasonography imaging

Ultrasonography: rotator cuff tendons (supraspinatus, infraspinatus, subscapularis) integrity, long head of the biceps tendon integrity and location, SASD (subacromial-subdeltoid) bursitis, synovitis and muscle atrophy.

Intervention Type DIAGNOSTIC_TEST

American Shoulder and Elbow Surgeons (ASES) Score

The patient self-assessment (pASES) includes 6 pain items and 10 functional items that are shoulder specific (Angst, 2008).

The pASES form has 3 sections: pain, instability, ADLs (Goldhahn, 2008).

1. Pain section: 4 questions with yes/no responses, 1 question covering number of pain tablets per day, and a VAS (visual analogue scale) from 0 (no pain) to 10 (worst pain).
2. Instability section: 2 questions (1. Response yes/no about feelings of instability, 2. Quantify instability from 0 (stable) to 10 (very unstable)).
3. Activities of daily living (ADLs): Each shoulder is included (affected/non affected), 10 items, with a 4 point ordinal scale, range: 0 (unable to perform activity) to 3 (no difficulty in doing activity) (Goldhahn 2008).

Intervention Type DIAGNOSTIC_TEST

The Constant-Murley score (CMS)

The test is divided into four subscales: pain (15 points), activities of daily living (ADL) (20 points), strength (25 points) and range of motion: forward elevation, external rotation, abduction and internal rotation of the shoulder (40 points).

Intervention Type DIAGNOSTIC_TEST

The Disabilities of the Arm, Shoulder and Hand (DASH)

30-item self-report questionnaire designed to assess symptoms and function of the entire upper extremity.

Total scores range from 0 (minimum) to (100) maximum.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients underwent rotator cuff repair by three orthopaedic surgeons at the Tartu University Hospital Sports Traumatology Centre between 2013 and 2019.
* Subject gives an informed consent and is willing to come for one outpatient visit.

Exclusion Criteria

* Patients who underwent rotator cuff repair for traumatic tears are excluded from clinical assessment (stage II).
* Patients who underwent revision surgery are excluded from clinical assessment (stage II).
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Tartu

OTHER

Sponsor Role collaborator

Tartu University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tiina Tikk, MD

Role: PRINCIPAL_INVESTIGATOR

University of Tartu

Locations

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Tartu University Hospital

Tartu, Tartu, Estonia

Site Status

Countries

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Estonia

Other Identifiers

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Tikk2023

Identifier Type: -

Identifier Source: org_study_id

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