Reverse Shoulder Arthroplasty With or Without Concomitant Latissimus and Teres Major Transfer for Shoulder Pseudoparalysis With Teres Minor Dysfunction

O

OrthoCarolina Research Institute, Inc.

Status

Completed

Conditions

Osteoarthritis of the Shoulder

Treatments

Procedure: Control group
Procedure: Transfer group

Study type

Interventional

Funder types

Other

Identifiers

NCT01697865
061217B

Details and patient eligibility

About

The overall objective of this study is to compare the clinical benefit and safety of two different surgical techniques of primary reverse total shoulder arthroplasty for the treatment of shoulder pseudoparalysis from chronic rotator cuff disease with associated teres minor dysfunction. The first surgical technique includes a concomitant latissimus and teres major transfer (transfer group) and the second technique does not include a concomitant latissimus and teres major transfer (control group).

Enrollment

33 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Shoulder pseudoparalysis due to chronic rotator cuff dysfunction with or without glenohumeral arthritis.
  • Chronic rotator cuff tear with severe retraction, atrophy, fatty infiltration.
  • Active forward elevation of less than 90 degrees
  • Teres minor dysfunction
  • Positive lag and hornblower sign
  • Grade 2 or greater fatty infiltration of the teres minor and infraspinatous seen on MRI
  • Able to attend scheduled office visits
  • Meet all criteria to have a latissimus and teres major transfer

Exclusion criteria

  • Revision arthroplasty
  • Previous shoulder infection
  • Neuro-muscular disorder (ie: Parkinson's)
  • Advanced dementia

Trial design

33 participants in 2 patient groups

Transfer group
Active Comparator group
Description:
The first surgical technique includes a concomitant latissimus and teres major transfer (transfer group).
Treatment:
Procedure: Transfer group
Control group
Active Comparator group
Description:
The second technique does not include a concomitant latissimus and teres major transfer (control group).
Treatment:
Procedure: Control group

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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