Skillful Neglect Vs Repair For Subscapularis Tear Associated With Posterosuperior Cuff Tears Repair.

Mohamed Ashraf Abdallah

Status: Enrolling

Conditions: Subscapularis Muscle Strain

Treatments: Procedure: arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .; Procedure: skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

Study type: Interventional

Funder types: Other

Identifiers

NCT05960812

FMASU MD 218/2022

Details and patient eligibility

About

The purpose of this study is to compare functional outcomes of Skillful Neglect & arthroscopic repair of upper border subscapularis tear in La fosse type 1 and type 2 with biceps tenotomy in non-athletes,30 shoulders subdivided randomly into 2 groups, 15 patients in group 1 (patient treated by skillful neglect with biceps tenotomy) and 15 patients in group 2 (patients treated by arthroscopic repair with biceps tenotomy)

Full description

patients are randomized chosen then a shoulder arthroscope is done for all patients with biceps tenotomy but in group1 the investigators are neglecting the upper border tears and in group 2 the investigators are repairing upper border tears with anchors then after the procedure is completed the investigators will follow up by ASES score

Enrollment: 30 estimated patients

Sex: All

Ages: 40 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with combined upper subscapularis border tear in Lafosse type 1 and type 2.

Exclusion criteria

• Glenohumeral arthritis.
• Patients with other intra-articular pathology like SLAP lesions.
• Neural damage (Brachial plexus injury).
• Revision cases.
• Patient with subscapularis border tear type 3, type 4, and type 5.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

group 1 (patient treated by skillful neglect with biceps tenotomy)

Active Comparator group

Description:

neglect of upper border subscapularis tear and doing biceps tenotomy

Treatment:

Procedure: skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

Procedure: arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

group 2 (patient treated by arthroscopic repair with biceps tenotomy)

Active Comparator group

Description:

repair of upper border subscapularis tear and doing biceps tenotomy

Treatment:

Procedure: skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

Procedure: arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .