Shoulder Impingement Syndrome
Conditions
Interventions
43 patients will be randomized into 2 groups by randomization by the randomization application irandomizer. Each group will undergo a type of surgery: group 1 with 23 patients (arthroscopic surgery of
group 2 with 20 patients (open surgery, mini-open type, augmentation and interposition, with autograft of fascia lata). Surgeries will be performed by the same surgical team, with experience in rotato
Q65.070
A02.340.424
Sponsors
Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo - SP- IAMSPE
Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo - SP- IAMSPE
Eligibility
Age
50 Years to No maximum
Inclusion criteria
Inclusion criteria: Age above 50 years; complex rotator cuff lesion (extensive and massive) diagnosed by radiographs, MRI and clinical examination; rotator cuff injury without history of traumatic event; pain and / or decreased shoulder strength for at least 3 months without improvement with conservative treatment; cooperative patients, who agree to participate in the research and sign the consent form.
Exclusion criteria
Exclusion criteria: Previous surgeries in the studied shoulder; patients smokers, chronic alcoholics, diabetics and non-collaborative; advanced arthrosis or arthropathy; rheumatological diseases or chronic use of corticosteroids; psychiatric disorders, fibromyalgia or chronic cervicobrachialgia; active infections; blood dyscrasias; neurological or vascular diseases in the affected limb; clinically decompensated comorbidities; hyperlipidemia and advanced osteoporosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparative clinical functional assessment by the UCLA scale of patients operated on in both study groups. (0-35 pontos) | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparative clinical functional assessment by the ASES scale of patients operated on in both study groups. (0-100 points);Comparative clinical functional assessment by the EVA of patients operated on in both study groups. (0-10 points);Comparative clinical evaluation by the range of active shoulder movement (frontal flexion, lateral rotation and medial rotation) of patients operated on in both study groups. (frontal flexion = 0-180 degrees measured with a goniometer); (lateral rotation = 0-90 degrees measured with a goniometer); (medial rotation = 0-10 points according to the reach of the hand in the dorsal region of the chest);Comparative clinical evaluation of the frontal flexion strength of the operated shoulder using a dynamometer of operated patients in both study groups. (average of 3 consecutive strength measurements = measured in kilograms);Comparative clinical evaluation of the occurrence of complications in operated patients in both study groups.;Comparative clinical functional assessment by the CONSTANT scale of patients operated on in both study groups. (0-100 points);Comparative radiological evaluation by analyzing the MRI scan of the shoulder of operated patients in both study groups. (image analysis by Sugaya's classification into 2 types = re-breaking or intact) | — |
Countries
Brazil
Contacts
Public ContactFabiano Ribeiro
IAMSPE
Outcome results
None listed