Rotator Cuff, Subacromial Impingement Syndrome
Conditions
Brief summary
Clinical manifestations of rotator cuff tear include shoulder pain, weakness, and stiffness. The level of pain is often a limiting factor when assessing shoulder range of motion and strength pre-operatively. Pain itself has even been a cause of weakness due to muscle atrophy. The purpose of this study is to further understand the effect pain has by measuring constant shoulder scores in patients before and after ultrasound guided subacromial (the outer end of the shoulder blade) injection of lidocaine (a local anesthetic or numbing agent) compared to saline (salt solution), in patients indicated for arthroscopic rotator cuff repair. The saline and lidocaine has been approved for use by the U.S. Food and Drug Administration (FDA). The constant shoulder score includes your level of pain, activity level, range of motion and strength measures.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient is determined to have a full thickness rotator cuff tear (1-3 cm), on the pre-operative MRI scan or found arthroscopically, and is scheduled to undergo arthroscopic surgical repair * Written informed consent is obtained
Exclusion criteria
* Revision Surgery * Irreparable tear or partial tear * Subscapularis involvement * Any patient lacking decisional capability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Constant Shoulder Score | 10 minutes following injection | Validated outcome score assessing pain and function of shoulder |