Shoulder Impingement Syndrome
Conditions
Keywords
Rotator cuff, Tendinosis, Impingement, radiofrequency
Brief summary
This study compare the outcome (pain, function) after Radiofrequency microtenotomy (group I) and acromioplasty (group II) for treatment of rotator cuff tendinosis in the shoulder. The outcome of both methods will be compared to the physical therapy treatment (groupIII)
Detailed description
Rotator cuff tendinosis cause pain and disability of the shoulder. Tendinosis, sometimes complicated by partial rupture, appears to be the major lesion in chronic rotator cuff tendinopathy. Important features is a poor intrinsic ability to heal. Several patients receive treatment for shoulder tendinosis each year. Conservative treatments options include rest, stretching, strengthening, ice and/or physical therapy are used with difference results. A traditional surgical treatments (acromioplasty) have been reported with variable results.. The aim of this study is to evaluate improvement of VAS and functionality using Constant score before and after treatment of rotator cuff tendinosis using radiofrequency-plasma based microtenotomy in comparison to traditional acromioplasty and physical therapy.
Interventions
PROCEDUREArthroscopic acromioplasty
Surgical intervention With arthroscopic acromion resection
PROCEDUREMicrotenotomy
Arthroscopic radiofrequency microtenotomy of rotator cuff tendon
Sponsors
University Hospital of North Norway
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Impingement pain in the shoulder at least 3 months * MRI of shoulder reveal tendinosis * Classification of Acromion morphology by RTG and or MRI * daily pain
Exclusion criteria
* inflammatory joint disease * Other comorbidity in the shoulder as instability, osteoarthritis or rotator cuff tear * serious illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in VAS for pain | every 2 weeks. during 6 months | The patients will have a clinical control 6,12 weeks and 6 months postoperatively. The VAS will be registered every 2 weeks via SMS during 6 months |
| Change from baseline in VAS for pain, | 6 weeks, 6 months, and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in functionality measured by constant score | 6 weeks, 6 months and 12 months |
Countries
Norway
Outcome results
None listed