Effect of surgery on shoulder pain in patients not helped by other treatments

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This trial investigates whether adding arthroscopic subacromial decompression to glenohumeral arthroscopy improves outcomes for patients with subacromial impingement syndrome who have not responded to non-operative treatments. It is a randomized, controlled trial with two groups: one receiving both surgeries and the other receiving only glenohumeral arthroscopy. Participants will undergo a standardized rehabilitation program post-surgery, and their progress will be assessed using the Shoulder Pain and Disability Index at 12 months. The study follows CONSORT guidelines to ensure rigorous methodology.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* SIS diagnosis (Consultant's clinical diagnosis of SIS + at least 3 out of 5 positive tests from the following: Hawkin's, Neer's, Jobe's, Painful arc and external rotation resistance test)
* Positive subacromial injection test
* Insidious onset of shoulder pain
* Considered a surgical candidate by an orthopedic shoulder specialist.
* Symptoms for at least 6 months
* Completion of at least 3 months supervised shoulder training
* No improvement in symptoms for at least 3 months
* The patient must be expected to be able to attend rehabilitation and post-examinations.

Exclusion Criteria:

* Terminal illness or severe medical illness (ASA score higher than or equal to 4), systemic musculoskeletal disease, inflammatory joint disease (e.g. rheumatoid arthritis), symptomatic cervical spine pathology or thoracic outlet syndrome.
* Full-thickness rotator cuff tear, calcified tendonitis, labral tear, frozen shoulder, biceps tendon pathology, acromioclavicular osteoarthrosis, glenohumeral osteoarthrosis or other concomitant shoulder pathology.
* Previous surgery or radiotherapy on the affected shoulder.
* Pregnancy
* Ongoing workers compensation case or job rehabilitation process

Where it's running

• Hvidovre Univeristy Hospital
  Hvidovre, Denmark, Denmark Recruiting

Study contacts

• Study coordinator: Adam Witten, MD
• Email: adam.witten.02@regionh.dk
• Phone: 004528780809

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Functional electrical stimulation plus shoulder exercises for older adults with rotator cuff pain

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• Mulligan Mobilization vs. PNF for Subacromial Impingement Syndrome

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• Effects of fascia correction taping on shoulder pain and mobility

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  Recruiting Hacettepe University · Ankara, Altindag · NCT07624136

• Blood Flow Restriction Training vs Pilates for Subacromial Impingement

  In people with subacromial impingement, this study tests whether adding low-load blood flow restriction training or Pilates to standard therapy helps reduce pain and improve shoulder function.

  Recruiting Cairo University · Rāshid · NCT07608809

• Supervised physiotherapy versus home exercise for shoulder impingement

  This trial will test whether supervised physiotherapy or a home exercise program works better for adults aged 30–65 with unilateral subacromial impingement syndrome.

  Recruiting Izmir Katip Celebi University · Kırşehir, Kırşehir · NCT07568340

• Virtual reality exercise versus Mulligan mobilization for shoulder posture and function in subacromial impingement

  This trial will test whether virtual reality–based exercises or Mulligan mobilization, each added to exercise therapy, better improve shoulder posture and function in adults aged 30–50 with subacromial impingement syndrome.

  Recruiting Cairo University · Giza · NCT07369934

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.