SLAP Lesions; a Comparison of Conservative and Operative Treatment. A Prospective, Randomized Study
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Purpose
The purpose of this study is to evaluate whether there is a difference between conservative and operative treatment of Superior Labral Lesions(SLAP)of the shoulder.
| Condition | Intervention |
|---|---|
|
SLAP Lesions |
Procedure: labral repair Procedure: biceps tenodesis Procedure: diagnostic arthroscopy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver) Primary Purpose: Treatment |
| Official Title: | SLAP Lesions; a Comparison of Conservative and Operative Treatment. A Prospective, Randomized Study |
- WOSI score Constant score EQ-5D Rowe score Patient Satisfaction [ Time Frame: 6 and 24 months ] [ Designated as safety issue: No ]
- Sick leave Time back to sports at preoperative level [ Time Frame: 6 and 24 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | January 2008 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Labral repair with suture anchors
|
Procedure: labral repair
labral repair with suture anchors
Other Name: lupine anchor
|
|
Active Comparator: 2
Biceps tenodesis with suture anchor
|
Procedure: biceps tenodesis
biceps tenodesis with suture anchor
Other Name: suture anchor
|
|
Sham Comparator: 3
only a diagnostic arthroscopy performed
|
Procedure: diagnostic arthroscopy
diagnostic arthroscopy
Other Name: diagnostic arthroscopy
|
Detailed Description:
Treatment of superior labral lesions is controversial. Some authors advocate labral repair, some advocate biceps tenodesis,and others again questions whether these lesions should be repaired at all. There are no randomized studies comparing operative treatment and conservative treatment(i.e. physical rehabilitation), and likewise no randomized studies comparing labral repair and biceps tenodesis.
In this study;all patients who have a patient history, clinical signs of a SLAP lesion,a MRI study revealing an isolated superior labral lesion and have agreed to participate in the study, will have a diagnostic arthroscopy performed.
If a SLAP lesion is diagnosed, the patients are randomized to three different groups:1) SLAP repair with suture anchors 2) Biceps tenodesis 3) Physical therapy
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Clinical history and signs of superior labral lesion
- MRI study revealing an isolated superior labral lesion
Exclusion Criteria:earlier shoulder procedures,
- Other accompanying shoulderpathologies(such as cufflesions, instability, ac-joint pain, arthritis)
Contacts and Locations| Contact: cecilie p schrøder, MD | +47 23226368 | cecilie.schroder@ds.no |
| Contact: øystein skare, Phys-ed | +4723226390 | oystein.skare@lds.no |
| Norway | |
| Lovisenberg Deaconal Hospital | Recruiting |
| Oslo, Norway, 0789 | |
| Contact: cecilie p schrøder, MD +4723226368 cecilie.schrøder@lds.no | |
| Principal Investigator: cecilie p schrøder, MD | |
| Principal Investigator: | cecilie p schrøder, MD | Lovisenberg Deaconal hospital |
| Study Chair: | Jens i Brox, MD, PhD | University of Oslo, Rikshospitalet |
More Information
No publications provided
| Responsible Party: | Lovisenberg Diakonale Hospital |
| ClinicalTrials.gov Identifier: | NCT00586742 History of Changes |
| Other Study ID Numbers: | IRB00001870, IRB00001870(REK) |
| Study First Received: | December 21, 2007 |
| Last Updated: | January 2, 2012 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics Norway: Norwegian Social Science Data Services |
Keywords provided by Lovisenberg Diakonale Hospital:
|
SLAP lesions labral repair bicepstenodesis conservative treatment |
ClinicalTrials.gov processed this record on May 19, 2013