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Rotator Cuff clinical trials

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NCT ID: NCT05668533 Recruiting - Rotator Cuff Clinical Trials

Intrscalene Block Versus Pericapsular Nerve Group Block for Arthroscopic Shoulder Surgery

Start date: December 2022
Phase: N/A
Study type: Interventional

Early postoperative pain after arthroscopic shoulder surgery is a major problem for patients and orthopedic surgeons. Adequate pain control is vital for all aspects of patient recovery; including mental state, nutrition, cost of care period, rehabilitation, patient satisfaction, and overall post-surgery outcomes. (1) Single analgesic regimens are not always effective in controlling moderate to severe postoperative pain. Therefore, multimodal pain management is preferred and is currently recommended for early postoperative pain control.(2) Regional techniques form an integral part of multimodal analgesia of most of the enhanced recovery protocols and aid in minimizing the requirements of opioids to control acute postoperative pain which results in better, faster recovery and better satisfaction. Also, it is well known that sufficient management of acute pain is essential to prevent its transition to chronic pain.(3) The use of ultrasound guidance and its incorporation into the practice of regional anesthesia has dramatically improved the safety and success of perioperative care.(4) Ultrasound guided regional anesthesia is preferred in shoulder surgery as an effective way to provide anesthesia and postoperative analgesia. To ensure adequate postoperative pain control, nerve supply to the synovium, capsule, joint surfaces, ligaments, periosteum and shoulder muscles must be blocked. Interscalene brachial plexus (ISB) block is considered the analgesic technique of choice for shoulder surgery. However, the hemi-diaphragmatic paresis that may occur after the block has led to the search for an alternative to the ISB block. (5) Pericapsular nerve group block (PENG) is a new block that provides a pericapsular distribution with local anesthetic infiltration around the glenohumeral joint and provides analgesia by reaching the sensory nerve branches of the glenohumeral joint. The block of this area did not cause motor block or pulmonary complications, nor result in muscle laxity, blocking only the shoulder and the upper third of the humerus. It was demonstrated that the PENG block may be safely applied for both partial anesthesia and analgesia.(6)

NCT ID: NCT04552119 Active, not recruiting - Rotator Cuff Clinical Trials

Safety of Treatment of Shoulder Repair

HEALICOIL_KNTL
Start date: December 30, 2020
Phase:
Study type: Observational

This study evaluates the safety of the HEALICOIL Knotless Suture Anchors in patients requiring a repair of the rotator cuff tendon repair

NCT ID: NCT03752034 Recruiting - Rotator Cuff Clinical Trials

Muscle Fiber Fragments for Improved Function of Rotator Cuff Musculature Following Rotator Cuff Repair

Start date: November 4, 2019
Phase: N/A
Study type: Interventional

In this study, a chest muscle sample (biopsy) will be taken and the muscle fibers will be removed from the sample and made into smaller strands or fragments. During this same procedure, those muscle fiber fragments (MFFs) will then be injected directly into the supraspinatus muscle. Once injected, the MFFs will remain in the supraspinatus where Investigators believe the MFF will become part of the participants' existing muscle and provide increased muscle size and strength, improving function (rotator cuff strength and stability).

NCT ID: NCT02943005 Recruiting - Rotator Cuff Clinical Trials

Post-operative Mobilisation After Rotator Cuff Repair

Start date: September 2016
Phase: N/A
Study type: Interventional

The aim of this study is to compare rehabilitation with the wearing of a sling, to rehabilitation without any immobilization after an arthroscopic repair of the supraspinatus tendon. The goal is to offer to patients a simplified rehabilitation management, with a faster recovery, less pain and a quicker return to normal life.

NCT ID: NCT02693444 Withdrawn - Clinical trials for Subacromial Impingement Syndrome

Comparison of Strength and Constant Score Pre- and Post-Subacromial Injection for Full Thickness Rotator Cuff Tears

Start date: March 2, 2016
Phase: N/A
Study type: Interventional

Clinical manifestations of rotator cuff tear include shoulder pain, weakness, and stiffness. The level of pain is often a limiting factor when assessing shoulder range of motion and strength pre-operatively. Pain itself has even been a cause of weakness due to muscle atrophy. The purpose of this study is to further understand the effect pain has by measuring constant shoulder scores in patients before and after ultrasound guided subacromial (the outer end of the shoulder blade) injection of lidocaine (a local anesthetic or numbing agent) compared to saline (salt solution), in patients indicated for arthroscopic rotator cuff repair. The saline and lidocaine has been approved for use by the U.S. Food and Drug Administration (FDA). The constant shoulder score includes your level of pain, activity level, range of motion and strength measures.

NCT ID: NCT01122745 Completed - Pain Clinical Trials

Single Shot vs Continuous Interscalene Block for Rotator Cuff Repair

Start date: August 2010
Phase: N/A
Study type: Observational

1. Rotator cuff have painful post surgery recovery. 2. Single shot interscalene with oral analgesics may or may not be enough 3. Continuous nerve block may be too much for the surgery 4. The idea is to compare two techniques to see if the two techniques can improve patient pain control and satisfaction.

NCT ID: NCT00739947 Completed - Rotator Cuff Clinical Trials

Arthroscopic Surgical Outcome Study In Subjects With Rotator Cuff Tears

Start date: October 13, 2008
Phase:
Study type: Observational

This is an observational study that involves subjects with full-thickness rotator cuff tears treated by means of arthroscopy surgical repair, also known as arthroscopic surgery. The primary objective of this study is to observe the timing and rate of tendon retear in those subjects.

NCT ID: NCT00198185 Withdrawn - Tendon Injuries Clinical Trials

Cascade PRFM Study: The Evaluation of Cascade Platelet-Rich Fibrin Matrix (PRFM) on Rotator Cuff Healing

Start date: January 2005
Phase: Phase 3
Study type: Interventional

Hypothesis: The use of cascade platelet-rich fibrin matrix (PRFM) on medium and large sized rotator cuff tears will improve patient results versus the control results by 50%. The purpose of this study is to examine the effect of PRFM on rotator cuff repairs. Since locally applied platelet-derived growth factor (PDGF) has shown early promise in enhancing tendon and ligament healing in anterior cruciate ligament (ACL) and medial collateral ligament (MCL) reconstruction, the investigators believe that locally applied PRFM will enhance the quality of rotator cuff repairs.