rotator cuff tear massive rotator cuff tear shoulder complaints rotator cuff pathology
Conditions
Interventions
Teres major muscle transfer versus latissimus dorsi muscle transfer
The patient is positioned in lateral position on the unaffected side. The first skin incision runs just above the posterior pillar
Sponsors
Leiden University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients suffering MRI proven massive RC tears. A massive Rotator Cuff tear is defined as a type III tear according to Davidson et al. Retraction grade II or III acoording to Patte and Grade >II fatty infiltration. 2) Invalidating pain of the affected shoulder 3) Functional deficit (loss of external rotation and/or abduction)
Exclusion criteria
Exclusion criteria: -Tear of the m. subscapularis -Radiographic osteoarthritis of the glenohumeral joint of Kellgren > grade 2 and/or acromioclavicular joint and/or sternoclavicular joint - History of fractures or dislocation of the shoulder - Tumors - No informed consent - Insufficient Dutch Language skills - Age 80 - Contra-indications for surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Constant score at 1 year postoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| Constant score at 3 and 6 months postoperatively. At 3,6 and 12 months postoperatively. Range of motion using a goniometer and an electromagnetic tracking device. EMG activity of various shoulder muscles. Visual analogue scale for pain. Complications Re-operations or other interventions. SF-12 DASH WORC | — |
Contacts
Public ContactR.G.H.H. Nelissen
Leiden University Medical Center (LUMC), Postbus 9600
Outcome results
None listed