Clinical Trials Logo
  1. Home
  2. Brachial Plexus Injury
  3. NCT01334632

Incidence of Brachial Plexus Injury After Rotator Cuff Repair With Continuous Interscalene Block

Brachial Plexus Injury Clinical Trial

Official title:
Comparison of Incidence of Brachial Plexus Injury After Rotator Cuff Repair With Continuous Interscalene Block Versus Patient Controlled Analgesia Morphine

Clinical Trial Summary

Brachial plexus injury after shoulder surgery with continuous interscalene block is 2.4% at 1 month and 0% at 6 months, but may be higher with a systematic postoperative neurological examination. Indeed, femoral neuropathy after anterior cruciate ligament reconstruction is 24% at 6 weeks in a cohort of 20 consecutive patients systematically screened with an electromyogram. Brachial plexus injury may be the consequence of the surgery (direct lesion by traction) or the continuous interscalene block. The goal of this study is to define the etiology of this postoperative neuropathy.

Clinical Trial Description

Rotator cuff surgery is associated with moderate to severe postoperative pain. Among different analgesic strategies, continuous interscalene block is reported to be an efficient method, reducing opioid consumption and allowing rapid rehabilitation; however, patients may develop a transient neuropathy after surgery, which could have a significant impact on active patients. This study is designed to compare the incidence of brachial plexus injury in two groups of patients: one with a continuous interscalene block, and one with a patient control analgesia of morphine (self-iv administration of morphine). All patients will have a clinical neurological exam with a preoperative electromyogram in order to rule out a pre-existing neuropathy. Another clinical neurological exam with electromyogram will be performed between 4 and 6 postoperative weeks and, if pathological repeated at 6 months, 9 months and 12 months. The surgery will be done under general anesthesia for all patients. ;

Study Design

Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Diagnostic

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT01334632
Study type Interventional
Source Centre Hospitalier Universitaire Vaudois
Contact
Status Withdrawn
Phase N/A
Start date April 2011
Completion date November 2013
View Details
See also
  Status Clinical Trial Phase
Not yet recruiting NCT05859178 - Exercise Training for Brachial Plexus Injury Following Nerve Transfer Phase 2
Completed NCT05575674 - Retrospective Study on Myoelectric Elbow-Wrist-Hand Orthosis User Outcomes
Completed NCT01393444 - ECoG Direct Brain Interface for Individuals With Upper Limb Paralysis N/A
Active, not recruiting NCT04900896 - Outcome Measures Study on an Adult Myoelectric Elbow-Wrist-Hand Orthosis
Terminated NCT01297439 - New Prophylactic Maneuver: the "Pushing" Maneuver, Aiming to Reduce the Risk for Shoulder Dystocia N/A
Completed NCT06237270 - External Validation Study for Risk Prediction Model for Unsuccessful Elbow Flexion Recovery After Nerve Transfer Surgery in Patients With Brachial Plexus Injury
Recruiting NCT06313658 - Enhancing Functional Hand Recovery Through Nerve Reconstruction in Total Brachial Plexus Birth Injury
Not yet recruiting NCT05810077 - Feasibility of Brachial Plexus Ultrasound in Evaluation of Patients With Brachial Plexus Injuries
Not yet recruiting NCT04959058 - EVALUATION OF BRACHIAL PLEXUS IN DIFFERENT ARM POSITION N/A
Recruiting NCT04939233 - Robotic Hand Orthosis Providing Grasp Assistance for Patients With Brachial Plexus Injuries N/A
Recruiting NCT00755586 - Stem Cell Therapy to Improve the Muscle Function of Patients With Partly Denervated Muscles of the Arm Phase 1/Phase 2
Completed NCT03377712 - Surgical Repercussions in Respiratory System in Patients With Post-Traumatic Brachial Plexus Injuries: A Prospective Cohort Study
Completed NCT03409536 - Somatosensory Evoked Potential (SSEP) Monitoring for Brachial Plexus Injury
Completed NCT03162393 - The Surgical Treatment of Total Brachial Plexus Avulsion Injury-A Retrospective Study of 73 Patients N/A
Recruiting NCT04733599 - Neurostimulation for Treatment of Chronic Upper Limb Pain After Brachial Plexus Injury
Enrolling by invitation NCT04933149 - Ketamine Infusion for Neuropathic Pain in Brachial Plexus Injuries Phase 4
Recruiting NCT01894802 - Cortical Recording and Stimulating Array Brain-Machine Interface N/A
Completed NCT02711774 - Changes in Optic Nerve Sheath Diameter in Response to Various Levels of End Tidal Carbon Dioxide Levels N/A
Recruiting NCT05693038 - Brachial Plexus Injury After Prone Positioning