Anatomic and Clinical Long-term Follow-up of Conservatively Treated Rotator Cuff Tears
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 49
- 试验地点
- 1
- 主要终点
- Shoulder sonography
研究概览
简要总结
Study population: Patients who have been treated with physiotherapy for a potentially repairable rotator cuff tear in the period from 2002 to 2005.
Study Method: At the time of diagnosis (2002 to 2005) all study patients were examined clinically, sonographically and by MRI. Some patients also completed a shoulder score. All study patients will now be reexamined, 8 to 10 years after they were diagnosed. Reexamination includes history taking, clinical examination, completion of three shoulder scores (two shoulder specific scores, one general health score), Sonography and MRI. Findings of interest are
- the number of relapses during follow-up,
- the need for surgical treatment during follow-up,
- the deterioration of tear anatomy (tear size, muscle atrophy, fatty degeneration) during follow-up
- the actual clinical shoulder condition (as given by shoulder scores) at reexamination.
Study purpose: We want to assess the anatomic and clinical long-term results of physiotherapy for potentially repairable rotator cuff tears. We want to find out if tear anatomy of unrepaired rotator cuff tears deteriorates over time and if such a deterioration is associated with a development of more serious degrees of symptoms.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Full-thickness rotator cuff tear diagnosed between 2002 and 2005 by both sonography and MRI.
- •At the time of diagnosis (2002 to 2005):
- •Typical clinical symptoms for a rotator cuff tear including pain laterally on upper humerus, painful arc, positive impingement test (Neer or Hawkins)
- •Potentially repairable tear (tear size up to 3 cm, muscle atrophy not exceeding grade 2 according to Thomazeau, fatty degeneration not exceeding grade 1 according to Goutallier).
- •Treated by physiotherapy for at least 3 months
排除标准
- •At the time of diagnosis (2002 to 2005):
- •Full-thickness tears of the subscapularis tendon or of the entire supraspinatus and infraspinatus tendons
- •Other symptomatic shoulder pathology including long head of the biceps tendon pathology, acromioclavicular joint pathology, shoulder instability, inflammatory diseases, glenohumeral arthritis
- •Earlier treated with rotator cuff repair in the study shoulder
结局指标
主要结局
Shoulder sonography
时间窗: Baseline to 8-10 years follow-up
Sonographic shoulder examination was performed for all study patients before treatment was given. All patients will be reexamined by sonography after 8 to 10 years. The finding of interest is the change of tear size as determined by sonography
次要结局
- Number of patients who needed surgical treatment of their shoulder during follow-up(8 to 10 years)
- MRI of the shoulder(MRI will be performed at 8 to 10 years follow-up)
- Number of relapses during follow-up(8 to 10 years)
研究者
Stefan Moosmayer
MD, PhD
Martina Hansen's Hospital