- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01116518
Treatment of Atraumatic Rotator Cuff Rupture in Elderly Patients (toarcriep)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study will be conducted according to the revised Declaration of Helsinki by The World Medical Association and the ICH-guidelines for good clinical trial practice. The study will be submitted for approval to the Ethics Committee of the Hospital District of Varsinais-Suomi, Finland. A written informed consent will be obtained from each patient.
This study will be conducted at three different hospitals i.e. Turku University Hospital, Tampere University Hospital (Hatanpää hospital) and Kuopio University Hospital as a multicenter study. A total of 180 patients, 60 patients at each hospital, will be included in this study. The patients are clinically examined and a routine x-ray and MRI-investigation are performed. Patients must have an atraumatic degenerative supraspinatus tendon rupture comprising less than 2/3 of the tendon insertion, i.e. 1/3 of the tendon insertion must be intact. The rupture must be documented by MRI investigation. Patients must be willing and give a written informed consent. After recruitment the patients are randomized in one of three studied treatment modalities. The randomization is made after clinical and MRI investigation by neutral attendant using sealed envelopes. 60 identical envelopes (20 per group) are made in each center.
The Constant score is used as a primary outcome measure. The Constant score is measured from each patient right before treatment intervention and at three and six months, one, two and five years after the intervention. The intervention groups are designed in a cumulative fashion: structured and standardized physiotherapy treatment proceeds gradually in all patients (groups 1,2,3), in addition to physiotherapy patients in group 2 are treated with acromioplasty, and patients in group 3 with acromioplasty and rotator cuff reconstruction.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Kuopio, Finland, 70211
- Kuopio University Hospital
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Tampere, Finland, 33101
- Tampere University Hospital
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Turku, Finland, 20701
- Turku University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- age over 55 years
- atraumatic penetrating supraspinatus tendon rupture comprising less than 2/3 of the tendon insertion and documented with MRI investigation.
- full active range of motion
- written informed consent from participating subject
Exclusion Criteria:
- age under 55 years
- existing significant malignant, haematological, endocrine, metabolic, rheumatoid or gastrointestinal disease
- cytostatic or corticosteroid medication
- glenohumeral osteoarthrosis grade III or above (X-ray evaluation with present osteophytes according to Kellgren-Lawrence classification)
- history of alcoholism, drug abuse, psychological or other emotional problems that are likely to invalidate informed consent
- previous same shoulder surgery
- a massive tendon tear involving the whole supraspinatus tendon and/or combined tear of two - three tendons ie. supraspinatus with infraspinatus or subscapularis tendon tear.
- patients denial
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: physiotherapy
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Active Comparator: acromioplasty
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Active Comparator: acromioplasty and rotator cuff reconstruction
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Shoulder score by Constant and Murley
Time Frame: 2 years
|
Constant scoring is endorsed by SECEC/ESSSE and is the most largely used instrument measuring shoulder pain, function and strenght.
This scoring system is very suited for evaluating disability caused by rotator cuff ruptures.
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2 years
|
Constant score
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subjective and objective shoulder score
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Juha Kukkonen, MD, Turku University Hospital
- Study Director: Ville Äärimaa, MD, PhD, Turku University Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 106/2007
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Atraumatic Rotator Cuff Rupture
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Western Orthopaedics Research and Education FoundationAlloSourceRecruitingRotator Cuff Tear or Rupture, Not Specified as TraumaticUnited States
-
The Cleveland ClinicRecruitingRotator Cuff Tears | Rotator Cuff RepairsUnited States
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Andrews Research & Education FoundationFloridaRecruitingRotator Cuff Tear or Rupture, Not Specified as TraumaticUnited States
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University Hospital, Basel, SwitzerlandCompletedRotator Cuff Tear or Rupture, Not Specified as TraumaticSwitzerland
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Bezmialem Vakif UniversityNot yet recruitingRotator Cuff Tears | Partial Tear of Rotator CuffTurkey
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Spital Thurgau AGRecruiting
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CONMED CorporationRecruitingRotator Cuff TearsUnited States
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The University of Texas Health Science Center,...Skye BiologicsNot yet recruiting
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Peking University Third HospitalRecruiting
-
Kaohsiung Veterans General Hospital.Recruiting
Clinical Trials on acromioplasty
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Prof. Dr. Cemil Tascıoglu Education and Research...CompletedPartial Thickness Rotator Cuff TearsTurkey
-
Ottawa Hospital Research InstituteCompleted
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Panam ClinicCompletedArthroscopic Rotator Cuff Repair of Full Thickness Tears With and Without Arthroscopic AcromioplastyRotator Cuff Tear | Shoulder Impingement SyndromeCanada
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Kanta-Häme Central HospitalUnknownShoulder Impingement SyndromeFinland
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University Hospital of North NorwayCompletedShoulder Impingement SyndromeNorway
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Adrien SchwitzguebelUnknownTendon Injuries | Subacromial Impingement Syndrome | Shoulder Impingement SyndromeSwitzerland
-
Martina Hansen's HospitalCompleted
-
Central Finland Hospital DistrictOulu University Hospital; Academy of FinlandActive, not recruitingSubacromial Impingement SyndromeFinland
-
University of CalgaryCanadian Orthopaedic Foundation; Workers' Compensation Board, AlbertaCompleted
-
University of HelsinkiActive, not recruitingSubacromial Impingement SyndromeFinland