Comparing neglect versus repair for specific shoulder tears
Skillful Neglect Vs Repair For Upper Border Subscapularis Tear Associated With Posterosuperior Cuff Tears Repair In Non-Athletes: A Randomized Controlled Trial
This study is testing whether leaving certain shoulder tears alone or fixing them with surgery helps people recover better over time.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 40 Years to 70 Years |
| Sex | All |
| Sponsor | Ain Shams University Academic / other |
| Locations | 1 site (Cairo) |
| Trial ID | NCT05960812 on ClinicalTrials.gov |
What this trial studies
This study aims to evaluate the functional outcomes of two different treatment approaches for upper border subscapularis tears associated with posterosuperior cuff tears. Patients will be randomly assigned to either a skillful neglect approach or an arthroscopic repair approach, both involving biceps tenotomy. The study will follow up on the patients' recovery using the American Shoulder and Elbow Surgeons (ASES) score to assess their functional improvement over time.
Who should consider this trial
Good fit: Ideal candidates for this study are non-athletic patients with Lafosse type 1 and type 2 upper subscapularis border tears.
Not a fit: Patients with glenohumeral arthritis, other intra-articular pathologies, neural damage, or higher-grade subscapularis tears may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could help determine the most effective treatment approach for patients with specific shoulder tears, potentially improving recovery outcomes.
How similar studies have performed: While there may be existing studies on rotator cuff repairs, this specific comparison of neglect versus repair for upper subscapularis tears is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with combined upper subscapularis border tear in Lafosse type 1 and type 2. Exclusion Criteria: * Glenohumeral arthritis. * Patients with other intra-articular pathology like SLAP lesions. * Neural damage (Brachial plexus injury). * Revision cases. * Patient with subscapularis border tear type 3, type 4, and type 5.
Where this trial is running
Cairo
- Ain Shams University Hospitals — Cairo, Egypt (Recruiting)
Study contacts
- Principal investigator: mohamed as abdallah, master — Ain Shams University
- Study coordinator: Mohamed As Abdallah
- Email: mohamedkhamis657@gmail.com
- Phone: 00201022677132
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.