Clinical Trials Logo
  1. Home
  2. Shoulder Impingement Syndrome
  3. NCT00196573

Subacromial Decompression Versus Subacromial Bursectomy for Patients With Rotator Cuff Tendinosis

Shoulder Impingement Syndrome Clinical Trial

Official title:
A Randomized Clinical Trial Comparing the Effectiveness of Subacromial Decompression (Acromioplasty) Versus Subacromial Bursectomy (no Acromioplasty) in the Arthroscopic Treatment of Patients With Rotator Cuff Tendinosis

Clinical Trial Summary

The purpose of this study is to compare the effectiveness of arthroscopic subacromial decompression (acromioplasty) to arthroscopic subacromial bursectomy (no acromioplasty) in rotator cuff impingement syndrome. The investigators' hypothesis is that arthroscopic subacromial decompression provides no additional benefit, as evaluated with disease specific quality of life measures, compared to arthroscopic bursectomy.

Clinical Trial Description

The most commonly performed surgical procedure to treat rotator cuff tendinosis, when no full-thickness tear exists, is subacromial decompression (acromioplasty). This procedure is based on the theory that primary acromial morphology, (an extrinsic cause), is the initiating factor leading to the dysfunction and eventual tearing of the rotator cuff.

Subacromial decompression involves surgical excision of the subacromial bursa, resection of the coracoacromial ligament, resection of the anteroinferior portion of the acromion, and resection of any osteophytes from the acromioclavicular joint that are thought to be contributing to impingement.

Several studies have indicated that the vast majority of partial-thickness tears are found on the articular surface of the rotator cuff which is not in keeping with the theory that rotator cuff impingement is primarily a result of acromion morphology.

Burkhart proposed that pathologic changes in the supraspinatus tendon occur primarily as a result of overuse and tension overload (an intrinsic factor), resulting in superior migration of the humeral head during active elevation.

Budoff et al., suggest that since the coracoacromial ligament stabilizes the rotator cuff to prevent uncontrolled superior migration of the humeral head, resection of the coracoacromial ligament during arthroscopic subacromial decompression may cause, in the long-term, additional proximal migration of the humeral head.

Arthroscopic bursectomy with debridement of rotator cuff tears alone, without acromioplasty, addresses the primary anatomical pathology and may offer similar success rates to subacromial decompression, without the risk of future instability caused by resection of the acromion and coracoacromial ligament. ;

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT00196573
Study type Interventional
Source University of Western Ontario, Canada
Contact
Status Active, not recruiting
Phase Phase 3
Start date November 2003
Completion date December 2014
View Details
See also
  Status Clinical Trial Phase
Recruiting NCT04330027 - Effectiveness of Lyophilized Growth Factors for Subacromial Impingement N/A
Recruiting NCT02909920 - Effectiveness of Telerehabilitation Program in Subacromial Syndrome (Telerehab Sis) N/A
Completed NCT02598947 - The POST Study; POsterior Shoulder Tightness in Rotator Cuff Related Disorders N/A
Terminated NCT02669303 - Platelet-rich Plasma (PRP) Injection for Treating Shoulder Subacromial Impingement Syndrome N/A
Completed NCT02670174 - Influence of Kinetic Chain Training on the Treatment Outcome of Overhead Athletes With Impingement N/A
Active, not recruiting NCT01441830 - Radial Extracorporeal Shock Wave Therapy (rESWT) Treatment of Subacromial Shoulder Pain Phase 3
Completed NCT01885377 - SWESS: The SWedish Exercise Shoulder Study in Primary Care for Patients With Subacromial Pain N/A
Completed NCT03667833 - Shoulder Brace on Muscle Activation and Scapular Kinematics in Patients With Shoulder Impingement Syndrome and Rounded Shoulder Posture N/A
Completed NCT01623011 - Can Shoulder Arthroscopy Work N/A
Completed NCT05528705 - Investigator Initiated Trial to Evaluate Efficacy and Safety of LAENNEC (Human Placenta Hydrolysate) Administered by Ultrasonography Guided Subacromial Bursa Injection in Patients With Shoulder Impingement Syndrome N/A
Completed NCT05897866 - Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM) N/A
Completed NCT04014491 - The Effects of Exercise Training on Corticospinal System in Overhead Athletes With Shoulder Impingement Syndrome N/A
Completed NCT01090271 - Effects of Eccentric Training for Shoulder Abductors in Subjects With Shoulder Impingement Syndrome N/A
Recruiting NCT06081088 - Graded Motor Imagery Training in Shoulder Impingement Syndrome N/A
Recruiting NCT06092502 - Subacromial Pain Syndrome and Graded Motor Imagery N/A
Completed NCT05605730 - Maitland Thoracic Mobilization Versus Mulligan Thoracic Mobilization in Kyphotic Patients With Shoulder Impingement Syndrome N/A
Completed NCT04154345 - Exercise Into Pain in Chronic Rotator Cuff Related Shoulder Pain: a Prospective Single-Group Feasibility Study N/A
Recruiting NCT05957952 - The Effects of Dynamic Taping With Exercise on Neuromuscular Control in Individuals With Subacromial Impingement N/A
Not yet recruiting NCT03554538 - Efficacy of a Web App With Multimedia Animations to Teach Therapeutic Exercise in Shoulder Pain N/A
Recruiting NCT02285868 - ATI Evidence-based Guide Investigating Clinical Services