M75.1
Conditions
Interventions
Group 1: Patients are observed over a three-month period of conservative treatment including physiotherapy (with or without adjunctive medical treatment, e.g. analgetics, injections).
Sponsors
Teesside University, School of Health and Social Care
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Inclusion: • Patients with (local) shoulder pain in the presence of an atraumatic (ultrasonographically detected) partial thickness rotator cuff tear (PTT) • Clinical signs of shoulder impingement (e.g. painful arc, positive impingement signs (e.g. Hawkins-Kennedy)) • Adults ( = 18 years) • No restrictions on gender • Agreement on conservative (i.e. non-surgical) treatment • Ability to speak and comprehend the German language • Agreement to participate (signed informed consent) • Anticipated availability for follow-up (living in area of Hamburg) • Agreement to physiotherapy in one of the collaborating practices.
Exclusion criteria
Exclusion criteria: Exclusion: • Presence of a full thickness rotator cuff tear (FTT) at the affected shoulder • Previous substantial shoulder trauma (e.g. shoulder dislocation) • Previous surgery for the affected shoulder • Previous surgery in the shoulder area that may be causal of or contributory to the current problem (e.g. surgery for breast cancer) • Clinical or (if available) radiological evidence of structural joint pathology • Significantly restricted passive range of movement (ROM) at the affected shoulder (‘capsulitis-type disorders’); current shoulder infection • Clinical signs of symptomatic acromioclavicular arthritis (e.g. local tenderness, positive provocation tests, e.g. ‘Cross-Body Adduction Stress’ test) • Calcific tendinitis • Ultrasonographic evidence of Long Head of Biceps (LHB) tendon subluxation/ dislocation • Referred pain from the cervical spine region • ‘Multisite musculoskeletal pain’ • Systemic diseases or comorbidities as potential sources of (the current) shoulder pain (e.g. breast cancer, rheumatoid disease), or as impairing treatment (e.g. cancer, cardiac insufficiencies) • Neurological disorders or deficits as potential sources of (the current) shoulder pain or impairing assessment and treatment (e.g. hemiplegic shoulder) • Worker’s compensation claims • Unwillingness or inability to give informed consent (e.g. cognitive or intellectual impairments)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient-reported Health-related Quality of Life (HrQoL)/disability as measured through the validated German version of the Western Ontario Rotator Cuff Index (WORC; Huber et al. 2005); assessment: end of observation period (regular follow-up assessment). | — |
Secondary
| Measure | Time frame |
|---|---|
| - Patient-reported perception of perceived change as measured by a Likert-type "Global perceiced change" scale - Progression of the rotator cuff tear from partial to full-thickness as assessed by ultrasonography; assessment: end of observation period. | — |
Countries
Germany
Contacts
Public ContactAndreas;Cordula Betthäuser;Braun
Schulter-Zentrum.com;Korrespondenzadresse: c/o Dr. med. Andreas Betthäuser, Schulter-Zentrum.com, Ev. Krankenhaus Alsterdorf
Outcome results
None listed