Do You Arthroscopic Repair for Subscapularis Tendon Tear, Which Accounts for More Than Half of the 1st Facet? Or do You Perform Debridement?

Not Applicable

• Conditions: Arthroscopic Repair; Subscapularis Tendon Tear; Arthroscopic Debridement
• Interventions: Procedure: arthroscopic repair; Procedure: arthroscopic debridement

• Registration Number: NCT03183466
• Lead Sponsor: Samsung Medical Center

Brief Summary

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.

Detailed Description

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.

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study Start: 2011-12-01
• Primary Completion: 2014-11-30
• Status Verified: 2017-05
• Study First Submitted: 2017-05-30
• Study First Submitted QC: 2017-06-08
• Last Update Submitted: 2017-06-08
• Study First Posted: 2017-06-12
• Last Update Posted: 2017-06-12
• Study Completion: 2017-07-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• 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

Read More

Exclusion Criteria

• 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

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients included in inclusion criteria	arthroscopic repair	-
Patients included in inclusion criteria	arthroscopic debridement	-

Primary Outcome Measures

Name	Time	Method
American Shoulder and Elbow Surgeons' score	2 year postoperatively
Constant score	2 year postoperatively
Korean Shoulder Score (KSS) score	2 year postoperatively
Range of Motion (ROM)	2 year postoperatively
Pain Visual Analogue Scale (PVAS)	2 year postoperatively

Secondary Outcome Measures

Name	Time	Method
repair integrity analysis using postoperative MRI	6 months

Trial Locations

Locations (1)

Samsung Medical Center; 🇰🇷 Seoul, Korea, Republic of