Partial coracoidectomy with reverse total shoulder arthroplasty may improve functional internal rotation

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 randomized controlled trial compares two surgical approaches for reverse total shoulder arthroplasty: with partial coracoidectomy and without coracoidectomy. The primary outcome is functional internal rotation at 12 months, measured by the ADLIR score. The study will also track complications and overall shoulder function to determine if adding coracoidectomy provides a meaningful benefit. Eligible participants are adults undergoing RTSA for conditions such as rotator cuff–related arthropathy, glenohumeral OA with irreparable cuff tear, or post-traumatic arthritis. Exclusion criteria include prior coracoid surgery, active infection, inflammatory arthritis, neuromuscular disorders affecting shoulder function, pregnancy, or inability to participate in follow-up.

Why it matters

Who can join: the full rules

Inclusion Criteria:

\- Adults undergoing reverse total shoulder arthroplasty (rTSA), including primary procedures or fracture repair. Indications may include arthropathy due to a rotator cuff tear, primary glenohumeral osteoarthritis with an irreparable rotator cuff tear, or post-traumatic arthritis.

Exclusion Criteria:

* Patients with a history of coracoid fractures or who have previously undergone surgery involving the coracoid process.
* Patients undergoing latissimus dorsi transfers
* Presence of an active infection, inflammatory arthritis, or a tumor affecting the shoulder region.
* Patients with pre-existing neuromuscular disorders affecting shoulder function
* Patients who are unwilling or unable to participate in the trial or complete follow-up assessments
* Patients deprived of their liberty by judicial or administrative order, in pretrial detention, or under guardianship, conservatorship, or judicial protection.
* Pregnant women, women in labor, or breastfeeding women
* Patients receiving psychiatric care
* Patients not enrolled in a social security program

Where it's running

• Clinique Générale d'Annecy
  Annecy, France Recruiting

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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.