Reverse Total Shoulder Arthroplasty With or Without Partial Coracoidectomy: Evaluation of Functional Internal Rotation

Reverse Total Shoulder Arthroplasty With or Without Partial Coracoidectomy: a Randomized Controlled Trial Evaluating Functional Internal Rotation

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07604714

Acronym

I-CORE

Enrollment

Registered

2026-05-22

Start date

2026-06-16

Completion date

2030-04-01

Last updated

2026-08-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Reverse Total Shoulder Arthroplasty

Keywords

reverse total shoulder arthroplasty, ADLIR (Activities of Daily Living requiring Internal Rotation), functional internal rotation, coracoidectomy

Brief summary

This project aims to conduct a randomized controlled trial comparing the functional outcomes and complications of standard reverse total shoulder arthroplasty and reverse total shoulder arthroplasty combined with partial coracoidectomy. The study will assess functional internal rotation at 12 months post-surgery, as measured by the ADLIR (Activities of Daily Living requiring Internal Rotation) score.

Interventions

PROCEDUREReverse total shoulder arthroplasty with coracoidectomy

Reverse total shoulder arthroplasty with coracoidectomy

PROCEDUREReverse total shoulder arthroplasty without coracoidectomy

Reverse total shoulder arthroplasty without coracoidectomy

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

\- Adults undergoing reverse total shoulder arthroplasty (rTSA), including primary procedures or fracture repair. Indications may include arthropathy due to a rotator cuff tear, primary glenohumeral osteoarthritis with an irreparable rotator cuff tear, or post-traumatic arthritis.

Exclusion criteria

* Patients with a history of coracoid fractures or who have previously undergone surgery involving the coracoid process. * Patients undergoing latissimus dorsi transfers * Presence of an active infection, inflammatory arthritis, or a tumor affecting the shoulder region. * Patients with pre-existing neuromuscular disorders affecting shoulder function * Patients who are unwilling or unable to participate in the trial or complete follow-up assessments * Patients deprived of their liberty by judicial or administrative order, in pretrial detention, or under guardianship, conservatorship, or judicial protection. * Pregnant women, women in labor, or breastfeeding women * Patients receiving psychiatric care * Patients not enrolled in a social security program

Design outcomes

Primary

Measure	Time frame	Description
Assessment of functional internal rotation, as measured by the change in the ADLIR (Activities of Daily Living requiring Internal Rotation) score	12 months after surgery	A maximum score of 100 indicates that the patient experiences no discomfort in daily life due to limited internal rotation. A minimum score of 14 indicates severe functional impairment due to limited internal rotation.

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 20, 2026