Outcome Following Surgery to Repair Rotator Cuff Tears

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00260949
Recruitment Status : Completed
First Posted : December 2, 2005
Last Update Posted : October 26, 2011
Information provided by (Responsible Party):
Ottawa Hospital Research Institute

Brief Summary:
There are two ways in which surgeons repair rotator cuff tears. An open method involves making an incision (cut) 5-6 inches in length in the skin and repairing the tear with the skin open, while the arthroscopic method involves making small holes in the skin and using a guiding camera and special equipment to repair the tear. This clinical study is being conducted to study the rate of re-tear (one year following surgery) of rotator cuffs that have been repaired using the arthroscopic technique.

Condition or disease Intervention/treatment Phase
Rotator Cuff Tear Procedure: Arthroscopic repair of rotator cuff tear Phase 4

Detailed Description:
While many studies have researched re-tear rate for rotator cuff tears following open repair, to date there have been no studies evaluating re-tear rate following arthroscopic surgery. Arthroscopic rotator cuff repair is less invasive and exposes the patient to fewer risks than open surgery. Once this pilot study is completed the next step will be to compare the rate of re-tear, as assessed via Magnetic Resonance Imaging (MRI) between the two techniques. If the rate of re-tear is lower following arthroscopic surgery this will provide validation for use of the arthroscopic technique. If, however, the rate of re-tear is higher using the arthroscopic technique, then use of this technique is not justified.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Functional and Anatomical Results Following Arthroscopic Cuff Repair
Study Start Date : November 2004
Actual Primary Completion Date : August 2011
Actual Study Completion Date : September 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Tears

Intervention Details:
  • Procedure: Arthroscopic repair of rotator cuff tear
    Patients will undergo arthroscopic shoulder surgery in the standard fashion

Primary Outcome Measures :
  1. Rate of re-tear at 1 year [ Time Frame: 1 year ]

Secondary Outcome Measures :
  1. Functional outcome Anatomical integrity [ Time Frame: 1 year ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 1. Diagnosis of rotator cuff tear which will involve one of the following:1) history of shoulder pain or weakness2) ability to illicit pain or weakness with one of the following signs: tenderness of the rotator cuff insertion, palpable crepitus of the subacromial bursa or a palpable defect of the cuff insertion, impingement signs and weakness of the rotator cuff musculature3) radiological evidence of rotator cuff tear from ultrasound, arthrogram or MRI2. Failed non-operative treatment3. Size of tear of less than 5 cm and involving 2 or fewer tendons

Exclusion Criteria:

  • Clinical:1. Tear as defined by significant muscular wasting, inability to actively forward-flex (strength grade 2/5 or worse), positive drop sign or hornblowers 2. Significant tenderness of acromioclavicular or sternoclavicular joints on affected side3. Presence of comorbid shoulder instability or evidence of SLAP lesion4. Previous surgery on affected shoulderRadiological:1. Bony abnormality on standardized series of x-rays consisting of a minimum of an antero-posterior view, lateral “Y” view in the scapular plane, and an axillary view.2. Presence of massive cuff tear on MRI or ultrasound (defined as > 5 cm or greater than 2 tendons torn).Arthroscopic:1. Presence of massive cuff tear as defined above on arthroscopic examination of the joint 2. Presence of comorbid conditions: Bankart lesion, SLAP lesion3. Inability to complete the repair arthroscopically (eg. partial repair by marginal convergence without direct repair to bone)Other:Patients who have any contraindication to MRI (including claustrophobia, intracranial aneurism clip, cardiac pacemaker, middle ear prosthesis, metallic heart valve prosthesis, prior metal fragment in eye (intraocular lens implant) etc.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00260949

Canada, Ontario
Ottawa Hospital Research Institute
Ottawa, Ontario, Canada, K1Y4E9
Sponsors and Collaborators
Ottawa Hospital Research Institute
Principal Investigator: {Peter Lapner OHRI

Responsible Party: Ottawa Hospital Research Institute Identifier: NCT00260949     History of Changes
Other Study ID Numbers: OHREB 2003534-01H
First Posted: December 2, 2005    Key Record Dates
Last Update Posted: October 26, 2011
Last Verified: October 2011

Keywords provided by Ottawa Hospital Research Institute:
rotator cuff tear
arthroscopic repair

Additional relevant MeSH terms:
Rotator Cuff Injuries
Wounds and Injuries
Shoulder Injuries
Tendon Injuries