Skillful Neglect Vs Repair For Subscapularis Tear Associated With Posterosuperior Cuff Tears Repair.

Summary

The purpose of this study is to compare functional outcomes of Skillful Neglect \& arthroscopic repair of upper border subscapularis tear in La fosse type 1 and type 2 with biceps tenotomy in non-athletes,30 shoulders subdivided randomly into 2 groups, 15 patients in group 1 (patient treated by skillful neglect with biceps tenotomy) and 15 patients in group 2 (patients treated by arthroscopic repair with biceps tenotomy)

Conditions

• Subscapularis Muscle Strain

Interventions

PROCEDURE

skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear conservative treatment which is considered the standard technique. * Semisetting position under GA. * Standard shoulder arthroscopy with standard portals for RC repair. * Inspection of articular surface of rotator cuff and biceps tendon. * Bursectomy, visualization of all rotators. * Mobilization is done for associated rotator tears by shaver and radiofrequency device. * Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear. * Skillful neglect to the tear. * Rotator repair technique by RC anchors * Biceps Tenotomy will be done in all cases by cutting of LHBT.

PROCEDURE

arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear repair which is considered the standard technique. * Semisetting position under GA. * Standard shoulder arthroscopy with standard portals for RC repair. * Inspection of articular surface of rotator cuff and biceps tendon. * Bursectomy, visualization of all rotators. * Mobilization is done for associated rotator tears by shaver and radiofrequency device. * Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear. * Skillful neglect to the tear. * Rotator repair technique by RC anchors * Biceps Tenotomy will be done in all cases by cutting of LHBT.

Sponsors & Collaborators

• Mohamed Ashraf Abdallah

  lead OTHER

Principal Investigators

• mohamed as abdallah, master · Ain Shams University

• Amr Mo Abdelhady · Ain Shams University

• Maged Mo Samy · Ain Shams University

• Mohamed Ha Sobhy · Ain Shams University

• Yahia Mo Haroun · Ain Shams University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

40 Years

Max Age

70 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-09-30

Primary Completion

2024-09-26

Completion

2024-09-26

Countries

• Egypt

Study Locations