Rotator cuff, Arthroscopic treatment, Bicepstendon, Popeye, Cosmesis
Conditions
Interventions
Long head biceps tenodesis or tenotomy in arthroscopic rotator cuff repair.
Sponsors
OLVG Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: Patients older than 50 years who are indicated to undergo repair of a moderately sized rotator cuff (infraspinatus and/or supraspinatus) tendon rupture (sized smaller than 3cm measured using an arthroscopic ruler), who are encountered with an inflamed, unstable or partially torn LHB tendon. Patients need to be able to read and write in Dutch or English language in order to complete the questionnaires, and sign informed consent.
Exclusion criteria
Exclusion criteria: Patients are excluded form this study in case of an acute, traumatic or partial thickness rotator cuff rupture, or in case a full thickness tear is larger than 3 cm measured using an arthroscopic ruler. (This excludes patients who have a massive rotator cuff rupture, since these patients are more likely to have a re-rupture within one year). Patients are also excluded when the origo of the bicepstendon has an hour-glass aspect or in case of accompanying subscapularis tendon rupture. Pre-operative X-ray of the involved shoulder revealing acromion to humeral head distance measuring 6mm or smaller or osteoarthritis also excludes patients from participation to this study. Any prior surgery to the involved shoulder leads to exclusion from participation in this study. Dementia or inability to complete questionnaires and assessments excludes patients form this study as well.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional outcome measured using the Constant score. | — |
Secondary
| Measure | Time frame |
|---|---|
| In addition, the Dutch Oxford Shoulder Test (DOST) and the Disabilities of the Arm Shoulder and Hand (DASH) questionnaire will be assessed. Other evaluations concern: cosmetic appearance evaluated by the ‘‘Popeye’’ deformity, arm cramping pain, elbow flexion strength (measured with a hand dynamometer), cost-effectiveness (evaluated with the EQ-5D), and an MRI evaluation. | — |
Contacts
Public ContactD.F.P. Deurzen, van
Postbus 95500
Outcome results
None listed