Impact of Biceps Tenotomy Versus Tenodesis on Rehabilitation Outcomes After Rotator Cuff Repair
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 主要终点
- Pain level
研究概览
简要总结
This study will investigate the difference between BTT (biceps tenotomy ) versus BTD (biceps tenodesis)in patients undergoing rotator cuff repair on postoperative shoulder pain levels, shoulder function, HGS, forearm supination muscle strength, elbow flexion strength
详细描述
Rotator cuff tears are common musculoskeletal conditions that are often degenerative and typically affect older adults. They may or may not be symptomatic, and their prevalence increases significantly with age, from approximately 9.7% in individuals under 20 years to 62% in those over 80 years. The rotator cuff plays a critical role in stabilizing the shoulder joint through the concavity-compression mechanism, and its dysfunction can result in shoulder instability, pain, and reduced upper limb strength. Conservative management, including physical therapy, therapeutic modalities, and medications, is considered the first-line approach for treating Rotator cuff tears , while surgical intervention is reserved for cases unresponsive to conservative treatment. Among the commonly performed surgical procedures, biceps tenotomy and biceps tenodesis are often combined with rotator cuff repair to alleviate pain and improve functional outcomes. Hand grip strength is widely recognized as a reliable indicator of overall upper limb function and may be affected by both the pathology and its surgical management. Despite its clinical relevance, limited studies have directly compared the impact of Biceps tenotomy and Biceps tenodesis on Hand grip strength. Furthermore, these surgical techniques may influence other functional outcomes, including elbow flexion strength, forearm supination strength, and pain perception. Therefore, this study seeks to investigate and compare the effects of Biceps tenotomy versus Biceps tenodesis on these parameters in patients undergoing surgical repair for rotator cuff tears.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 50 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The participant's selection will be based on the following criteria:
- •Both genders adults diagnosed with ≥ 1-cm full-thickness tears of rotator cuff.
- •Age ranged from 50 to 70 years .
- •LHB pathology is involved that will receive ARCR combined with biceps tenotomy or tenodesis.
- •Arthroscopically confirmed LHB pathology.
- •Functionality according to their physical level -
排除标准
- •Participants will be excluded if they have any of the following criteria:
- •Massive irreparable tears.
- •Inflammatory arthritis.
- •Thyroid disease.
- •Glenohumeral osteoarthritis.
- •Severe cervical disorders or paralysis of the axillary nerve.
- •Previous surgery of the affected shoulder.
- •Revision surgeries for a rotator cuff tear.
- •Complete LHBT rupture. -
研究组 & 干预措施
Biceps tenotomy
Patients will be grouped according to their surgical intervention combined with the rotator cuff repair by orthopaedic surgeon.
They will be assessed at 3 times interval ( preoperative , within 1 week post operative and after 3 months ).To identify its effect on rehabilitation outcomes in comparison to patients with biceps tenodesis .
干预措施: Jamar Handheld dynanometer (Device)
Biceps tenodesis
Patients will be grouped according to their surgical intervention combined with the rotator cuff repair by orthopaedic surgeon.
They will be assessed at 3 times interval ( preoperative , within 1 week post operative and after 3 months ).To identify its effect on rehabilitation outcomes in comparison to patients with biceps tenotomy.
干预措施: Jamar Handheld dynanometer (Device)
结局指标
主要结局
Pain level
时间窗: 3 time intervals ( pre , within 1 week post , 3 months post )
Assessed by Visual analog scale : used to assess acute pain particularly effective post-operatively for tracking individual progress . The patients mark their current pain level on a 100 mm horizontal line anchored by verbal descriptors . Scoring is : 0 for No symptoms , 10 for very severe symptoms
shoulder function
时间窗: 3 time intervals ( pre , within 1 week post , 3 months post )
Will be Assessed by Arabic version of American Shoulder and Elbow Suregeons and Constant Score questionnares \* American shoulder and Elbow Surgeons used to evaluate shoulder function and pain . Patient answer 10 daily activity questions each scored from 0 ( unable) to 3 (normal function ) while the pain assessed by visual analog scale Pain scaore is converted to another 50 point Score total is 100 points ( 50 pain + 50 function ) Higher scores is indication for better shoulder function \* Constant score used to assess shoulder function recovery . It has 2 sections : 1)subjective : 35 points : patient reports on pain and daily activity ability. 2)objective : 65 points : clinical measures for range of motion and strength Grading : pain + activities 0\_35 points Range of motion +strength 0\_65 points Strength is measured as 1 point per pound lifted for 5 sec ..25 points Score total is 100 points .. The higher is better
次要结局
- Hand grip strength(3 time intervals ( pre , within 1 week post , 3 months post ))
- Elbow flexion strength(3 time intervals ( pre , within 1 week post , 3 months post ))
- Forearm supination strength(3 time intervals ( pre , within 1 week post , 3 months post ))
研究者
Nardin Samuel Nasief
Nardin Samuel Nasief : Principal Investigator
Cairo University