Workers Compensation Board: Rotator Cuff Tear Management
NCT01498198 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 144
Last updated 2011-12-23
Summary
The overall goal of this proposed randomized study is to determine if surgery at the time of diagnosis or rehabilitation +/- surgery (i.e. surgery only when rehabilitation fails) results in shorter times to claim closure. The study will examine how often non-operative management is successful in resolving symptoms and allowing subjects to return to work without surgery. The investigators will also examine if there are subject, tear or work-related characteristics that affect the outcome of rehabilitation or expedited surgery and predict whether patients should be referred to operative or non-operative management at time of assessment. At study completion, the investigators expect to be able to definitively state the best management for subjects with these less serious RC tears.
The specific research questions to be addressed are as follows:
1. In WCB subjects with high grade partial thickness (\>50%) or small full thickness (≤ 1 cm.) rotator cuff tears, how does non-operative management (i.e. rehabilitation) or expedited surgery affect time to claim closure?
2. Are there subject, tear or work-related characteristics that affect which patient management approach will be most effective and efficient?
Conditions
- Rotator Cuff Tear
Interventions
- PROCEDURE
-
Rotator Cuff Repair Surgery
Participants will have surgery within 3 months. They will be followed up at 6 weeks, 12 weeks, 6 months and 12 months pos operatively.
- OTHER
-
Non Operative Treatment
Participants will undergo a 6 week assessment, and if they are improving they will continue undergoing non operative care up until 12 months. If at any assessment point (6 weeks, 12 weeks, 6 months, 12 months) they are deemed to not be making any more progression, they will be referred back to the surgeon.
Sponsors & Collaborators
-
University of Alberta
collaborator OTHER -
University of Manitoba
lead OTHER
Principal Investigators
-
Peter B MacDonald, MD FRCSC · University of Manitoba Faculty of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-01-31
- Primary Completion
- 2014-01-31
Countries
- Canada
Study Locations
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