Micro Fracture, Rotator Cuff Tears
Conditions
Keywords
Superb microvascular imaging, Rotator Cuff Tears, Micro Fracture
Brief summary
Patients with complaints of shoulder pain or limitation of motion and had rotator cuff rupture diagnosed with magnetic resonance imaging will be analyzed and the patients with surgical indication will be included in a randomized fashion. One group of patient will undergo standard arthroscopic rotator cuff repair, while the other group will have microfracture procedure in addition to the standard arthroscopic repair. Before the operation, functional and clinical conditions will be recorded with Constant and American Shoulder and Elbow Surgeons Shoulder Score (ASES) universal shoulder scoring systems and Visual Analogue Scale(VAS) pain scale. The blood supply and healing of the tendon in the repair area will be compared by the doppler ultrasound (superb microvascular imaging) at the 2nd, 4th, 8th and 12th week after the operation. Post-operative clinical, functional status and pain levels will be evaluated with Constant, ASES and VAS pain scales at 24th week.
Interventions
PROCEDUREMicrofracture + Standard Arthroscopic Rotator Cuff Repair
drilling of rotator cuff footprint area on humerus and standard arthroscopic rotator cuff repair
Standard Arthroscopic Rotator Cuff Repair
Sponsors
Göker Utku değer
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
40 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* degenerative rotator cuff tears
Exclusion criteria
* traumatic rotator cuff tears * rheumatoid diseases * previous surgery of rotator cuff tendon * glenohumeral arthritis * acromioclavicular arthritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessing early change of tendon and footprint area vascularity | 4th week | we will evaluate it by superb microvascular imaging via ultrasound, this ultrasound software give us quantitative value of vascularity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| functional outcome | 24th week | This entity will be asses by functional scoring systems.These are American Shoulder and Elbow Surgeons Shoulder Score (ASES) and Constant Shoulder Score. The ASES is a composite instrument, requiring both a physician assessment and a patient-completed portion; however, it is commonly presented as solely the patient-reported survey. This includes a section on pain (7 items) and a section on activities of daily living (10 items). Scores range from 0 to 100 with a score of 0 indicating a worse shoulder condition and 100 indicating a better shoulder condition. Constant Score was designed to assess the functional state of a normal, a diseased, or a treated shoulder.The Constant score contains both physician-completed and patient-reported portions. The four domains include pain (15 possible points), activities of daily living (20 possible points), mobility (40 possible points), and strength (25 possible points). Scores range from 0 points (most disability) to 100 points (least disability). |
Countries
Turkey (Türkiye)
Outcome results
None listed