Massive rotator cuff tear
Conditions
Interventions
A Group (Normal Bone Density Group):None
B Group (Low Bone Mass Group):None
C Group (Osteoporosis Group):None
Sponsors
The First Affiliated Hospital of Army Medical University of the People's Liberation Army of China
Eligibility
Sex/Gender
All
Age
50 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Age between 50 and 75 years; 2. Preoperative MRI diagnosis of a massive posterosuperior rotator cuff tear (massive tear defined as: anteroposterior tear length >=5 cm on sagittal view, or involvement of two or more rotator cuff tendons), confirmed intraoperatively as irreparable; 3. Underwent arthroscopic supraspinatus tendon reconstruction using autologous iliotibial band; 4. Received dual-energy X-ray absorptiometry (DEXA) for bone mineral density within 1 week preoperatively, and underwent MRI of the affected shoulder preoperatively, at 6 months postoperatively, and at 12 months postoperatively; 5. Complete clinical data and minimum postoperative follow-up of 12 months.
Exclusion criteria
Exclusion criteria: 1. Concurrent shoulder fracture, dislocation, infection, or tumor; 2. History of prior ipsilateral shoulder surgery; 3. Autoimmune diseases severely affecting bone metabolism, such as rheumatoid arthritis, hyperparathyroidism, or ankylosing spondylitis; 4. Long-term use of glucocorticoids or other drugs affecting bone metabolism; 5. Dysfunction of vital organs including heart, liver, or kidney.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Constant score at 12 months postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Constant score preoperatively and at 6 months postoperatively;Patient-reported pain VAS score;American Shoulder and Elbow Surgeons (ASES) score;Shoulder flexion, abduction, external rotation, and internal rotation range of motion;Graft healing status; | — |
Countries
China
Contacts
Public ContactZhou Binghua
The First Affiliated Hospital of Army Medical University of the People's Liberation Army of China
Outcome results
None listed