atraumatic (atraumatisch) rotator cuff rupture (rotator cuff ruptuur) subacromial impingement syndrome (impingement syndroom) shoulder (schouder)
Conditions
Interventions
1. 54 patients are randomized for acromioplasty with surgical repair of rotator cuff
2. 54 patients are randomized for conservative therapy consisting of physical therapy, subacromial infiltration with local analgesic and corticosteroids, analgesic medication, for example NSAID’s.
Sponsors
UMCG
Martini Hospital Groningen
Eligibility
Inclusion criteria
Inclusion criteria: In all patients referred to the department of Orthopaedic surgery and Rehabilitation of both the Martini Hospital and the University Medical Centre in Groningen, aged between 45 en 75 years, with a clinically suspected atraumatic rotator cuff rupture a MRI scan will be performed. If on the MRI of the affected shoulder 2 independent assessors diagnose a full thickness rotator cuff rupture with degenerative characteristics, the patient will be included in this study.
Exclusion criteria
Exclusion criteria: Exclusion criteria are traumatic rotator cuff rupture, no signs of degeneration on MRI, previous surgical treatment of the shoulder, frozen shoulder, radiological and symptomatic osteoarthritis of the gleno-humeral or acromio-clavicular joint, (rheumatoid) arthritis, diabetes mellitus and cognitive disorders, neurological disease or language barriers impairing participation.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measurements are the Dutch Simple Shoulder Test, the Visual Analog Scale for pain and restriction, the Goutallier score, anatomical localization of the rotator cuff rupture, integrity of the rotator cuff and economic evaluation. | — |
Primary
| Measure | Time frame |
|---|---|
| Functional outcome is the primary outcome measurement. The Constant Murley Score will be used. This score system combines a shoulder function test (65 points) with a subjective evaluation of complaints by the patient (35 points). The Constant Murley Score is a valid score for shoulder function and rotator cuff ruptures and repairs. | — |
Contacts
Public ContactF.O. Lambers Heerspink
PO Box 30.033
Outcome results
None listed