Postoperative pain and shoulder function after bursectomy for subacromial pain syndrome.
Conditions
Interventions
35 patients (intervention group) will be allocated to computer-assisted cryotherapy (Zamar® ZTCube) for 2 to 8 weeks after surgery. 35 patients (control group) will be allocated to receive usual care
Sponsors
C.P.J. Visser (CV), M.D., PhD
Orthopaedic Surgeon
Alrijne hospital
Department of Orthopedics
Eligibility
Inclusion criteria
Inclusion criteria: SAPS is defined according to the recommendations published in the guidelines for the diagnosis and treatment of SAPS of the Dutch orthopaedic association7. Emphasis is put on a combination of tests to demonstrate SAPS7, 25. The following inclusion criteria are applied: - Pain localized in the deltoid region - Complaints for more than 6 months - Unsuccessful physical therapy for at least six weeks - Exacerbation of pain when raising the arm - A positive Neer impingement sign, and an only temporarily effect of ultrasound guided subacromial infiltration (lidocain + corticosteroids). - A positive Hawkins-Kennedy test - A painful arc - Scheduled for arthroscopic bursectomy
Exclusion criteria
Exclusion criteria: - No informed consent is obtained - Language barrier - Age <25 years - Full-thickness rotator cuff tear - Restriction of passive shoulder motion (i.e. frozen shoulder). - Glenohumeral osteoarthritis - Calcifying tendonitis - History of a neurological disorder (e.g. stroke, Parkinson, dementia) - Rheumatoid arthritis - Concomitant biceps tenodesis. - Subacromial decompression (Those patients are treated with a pain-buster). - Clinical signs of cervical radiculopathy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study outcome is quality of life reported on the Western Ontario Rotator Cuff index 8 weeks after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are VAS for pain in rest, VAS when elevating the arm, Simple Shoulder test, Constant Score, range of motion, use of painkillers and return to work. Additionally, we will daily record pain and use of painkillers until approximately 8 weeks after surgery. | — |
Contacts
Public ContactC.P.J. Visser
Houtlaan 55
Outcome results
None listed