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)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Subscapularis Tendon Tear
- Sponsor
- Samsung Medical Center
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- American Shoulder and Elbow Surgeons' score
- Last Updated
- 8 years ago
Overview
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.
Investigators
Eligibility Criteria
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
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
Outcomes
Primary Outcomes
American Shoulder and Elbow Surgeons' score
Time Frame: 2 year postoperatively
Constant score
Time Frame: 2 year postoperatively
Korean Shoulder Score (KSS) score
Time Frame: 2 year postoperatively
Range of Motion (ROM)
Time Frame: 2 year postoperatively
Pain Visual Analogue Scale (PVAS)
Time Frame: 2 year postoperatively
Secondary Outcomes
- repair integrity analysis using postoperative MRI(6 months)