From Rotator Cuff Repair to Reverse Shoulder Arthroplasty - Clinical and Radiological Results

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-95
SponsorLovisenberg Diakonale Hospital

About this trial

In the planned study the investigators will invite 733 participants 10 years after arthroscopic rotator cuff repair to a follow up examination.

Shoulder pain is a common problem in the Norwegian population. Rotator cuff tear is a major cause of shoulder pain with a reported prevalence of up to 51% in patients 60-80 years of age. Arthroscopic rotator cuff repair is performed in an increasing proportion of these patients. Good results in shoulder function has been reported, although there is a lack in published good quality studies and long term follow up of these patients. There is also a lack of evidence regarding the association between radiologically-verified re-tear and clinical outcome.

In this project, the investigators address these critical gaps in knowledge and aim to investigate the factors influencing the clinical outcome after rotator cuff surgery and re-tear in a large prospective cohort study. The investigators will investigate how many participants suffering from poor outcome and develop cuff arthropathy in need of reverse shoulder arthroplasty after 10 years.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Operated at Lovisenberg Diaconal Hospital in the time period 2010-2014 with an arthroscopic rotator cuff repair

Included in the rotator cuff registry at Lovisenberg Diaconal Hospital

Able to read and write Norwegian

Disqualifiers

Lack of competence to consent

Not able to submit patient reported outcome measurements in any way and not able to undergo x-ray

Patient is unwilling to participate

Trial population

The study population is participants with a rotator cuff repair treated with arthroscopic rotator cuff repair 2010-2014 at Lovisenberg Diaconal Hospital.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Arthroscopic Rotator Cuff Repair

    Procedure/Surgery

    Arthroscopic Rotator Cuff Repair

Treatment groups

733 Participants
are divided into 1 treatment group
Group A: Cohort 10 years after surgery1 intervention

Trial outcomes

Primary outcomes

1

Western Ontario Rotator Cuff Index, Norwegian Version

Scale 0-2100. The maximum score is 2100 (higher score means worse outcome). Zero (0) represents no symptoms at all.

Time frame
10 Years after surgery

Secondary outcomes

1

Eurocol questionnaire EQ-5D-5L Norwegian version

Standardized generic questionnaire measuring health in five dimensions. 5 health dimensions described above includes 5 response categories of no problem, slight problems, moderate problems, severe problems, and extreme problems. The 5 responses give a health state or profile represented by a 5-digit number (for example, 12231) corresponding to response categories reported by patients for successive dimensions

Time frame
10 Years after surgery
2

Subjective Shoulder Value

A patient's subjective shoulder assessment expressed as a percentage of an entirely normal shoulder, which would score 100%.

Time frame
10 Years after surgery
3

Rotator cuff survival

Survival of rotator cuff repair in terms of number of reverse shoulder arthroplasties performed in the study group

Time frame
10 Years after surgery
4

Cuff arthropathy

Developement of cuff arthropathy on x-ray by Hamada-Fukuda and Seebauer classification. X-ray will be conducted in one Y-view (scapular view), three anterioposterior view (with arm in neutral, 30 degrees of internal rotation and 60 degrees of external rotation).

Time frame
10 years after surgery

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Lovisenberg Diakonale Hospital

Lead sponsor

Sykehuset Telemark

Collaborator

South-Eastern Norway Regional Health Authority

Collaborator