About this trial
This randomized controlled trial seeks to address a significant clinical gap by evaluating the outcomes of two postoperative immobilization methods following arthroscopic soft tissue surgery for anterior shoulder instability: a standard static arm sling and a dynamic shoulder orthosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged ≥18 years undergoing arthroscopic soft-tissue stabilization for anterior shoulder instability (Bankart repair ± Hill-Sachs remplissage).
Ability and willingness to comply with the study protocol and scheduled follow-ups.
Provision of written informed consent.
Disqualifiers
Significant glenoid bone loss requiring bony augmentation procedures (e.g., bone block procedures, Latarjet).
Concomitant rotator cuff repair or fracture fixation.
Contraindication to MRI (e.g., pacemaker, claustrophobia, incompatible implants).
Cognitive impairment, language barriers, or logistical inability to attend follow-up visits.
Trial design
Parallel
Treatments tested in this trial
Dynamic Immobilizer
DeviceAn adjustable strap system applied immediately post-surgery that permits movement of the shoulder joint while simultaneously limiting potentially harmful ranges of motion and translations. It is worn continuously for 3 weeks.
Conventional fabric arm sling
DeviceStatic immobilization using a conventional fabric arm sling applied immediately post-surgery and worn continuously for 3 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Feasibility composite (Recruitment, Retention, and Adherence)
Evaluation of the feasibility of conducting a definitive randomized controlled trial by measuring the recruitment rate (percentage of eligible enrolled), retention/follow-up completion rates, and protocol adherence (self-reported and therapist-verified). Safety and device-related adverse events will also be recorded.
Secondary outcomes
Western Ontario Shoulder Instability Index (WOSI)
Patient-reported functional outcome assessing quality of life related to shoulder instability.
Rowe Score
Clinical assessment of shoulder stability, mobility, and function.
Constant-Murley Score
Clinical assessment of general shoulder function, including pain, activities of daily living, range of motion, and strength.
Subjective Shoulder Value (SSV)
Patient-reported subjective function of the shoulder expressed as a percentage of a normal shoulder.
Sponsors and contacts
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