Prospective Randomized Clinical Trial of Arthroscopic Repair Versus Debridement for Subscapularis Tendon Tear More Than 1/2 to Entire 1st Facet (Representing 1/3 to More Than 1/3 Tear of Subscapularis Entire Footprint)
试验速览
- 阶段
- 不适用
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- American Shoulder and Elbow Surgeons' score
研究概览
简要总结
The purpose of this study was to randomly classify the upper third of the subscapularis in 1/2 of the rupture patients as preoperative group (arthroscopic and arthroscopic debridement group) and the difference between clinical and clinical scores.
详细描述
The degree of rupture that is an adaptation of arthroscopic surgery is now known to be about one-third to one-half of a rupture. However, the most controversial case is the one-third to one-half of the upper tear attached to the tendinous portion of the subscapularis. Currently, debridement or repair is under way. But evidence-based studies are lacking and no clear treatment guidelines are available.
研究设计
- 研究类型
- Interventional
- 主要目的
- Treatment
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subscapularis tendon tear from more than 1/2 to entire of 1st facet found during routine arthroscopy with 70 degree scope
- •Isolated or combined with Supraspinatus and/or Infraspinatus tear (SS/IS tear less than 3 cm)
- •Combined biceps lesion
- •Combined acromial clavicle (AC) arthritis
排除标准
- •Revision case or previous surgical history of the index shoulder
- •Any open surgery, including open repair of the subscapularis tendon
- •Compensation case
- •Combined severe arthritis of the glenohumeral joint
- •Patient who selects one's own surgical method, i.e. not randomized
- •Infection, tumor, etc
结局指标
主要结局
American Shoulder and Elbow Surgeons' score
时间窗: 2 year postoperatively
Constant score
时间窗: 2 year postoperatively
Korean Shoulder Score (KSS) score
时间窗: 2 year postoperatively
Range of Motion (ROM)
时间窗: 2 year postoperatively
Pain Visual Analogue Scale (PVAS)
时间窗: 2 year postoperatively
次要结局
- repair integrity analysis using postoperative MRI(6 months)