Pectoralis Minor Release Versus Non-release in RSA
NCT06292169 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2025-10-23
Summary
The goal of this clinical trial is to assess if concomitant open pectoralis minor release would improve pain and outcomes after Reverse Shoulder Arthroplasty (RSA). The main questions it aims to answer are:
* whether releasing the pectoralis minor prophylactically could have better pain relief
* whether releasing the pectoralis minor prophylactically could have increased Range of motion (ROM) outcomes
* whether releasing the pectoralis minor prophylactically could have higher final Patient Reported Outcome Measurements (PROMs) Participants will be randomized to either undergo RSA with pectoralis minor release or RSA without pectoralis minor release.
Conditions
- Reverse Total Shoulder Arthroplasty
- Rotator Cuff Tear Arthropathy
- Advanced Glenohumeral Osteoarthritis
Interventions
- PROCEDURE
-
Pectoralis Minor Release
The pectoralis minor is a muscle on the anterior chest wall attaching to the coracoid process. In the group undergoing pectoralis minor release, through the same deltopectoral incision that will not be extended or different as compared to the RSA only group, the pec minor will be exposed on the medial aspect of the coracoid at the upper part of the incision. It will be cut from its insertion on the coracoid while being careful to protect any neurovascular structures.
- PROCEDURE
-
RSA
RSA is the current Standard of Care (SOC)
Sponsors & Collaborators
-
Emory University
lead OTHER
Principal Investigators
-
Eric Wagner, MD · Emory University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-08-07
- Primary Completion
- 2026-01-31
- Completion
- 2026-01-31
Countries
- United States
Study Locations
More Related Trials
-
Reverse Shoulder Arthroplasty With or Without Concomitant Latissimus and Teres Major Transfer for Shoulder Pseudoparalysis With Teres Minor Dysfunction
NCT01697865 ·Status: COMPLETED ·Phase: NA
-
Impact of Glenosphere Size on Range of Motion in Female Patients Undergoing Reverse Shoulder Arthroplasty
NCT04093804 ·Status: UNKNOWN ·Phase: NA
-
Conjoint Tendon Resection During Reverse Total Shoulder Arthroplasty
NCT05753904 ·Status: TERMINATED ·Phase: NA
-
Does Undergoing a Prehabilitation Protocol Aimed at Optimizing Scapulothoracic Mobility and Strengthening Improve Internal Rotation After Reverse Shoulder Arthroplasty?
NCT07145957 ·Status: RECRUITING
-
Rotator Cuff Sparing Total Arthroplasty
NCT01961986 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Anatomic TSA vs RTSA for Glenohumeral Arthritis
NCT04629391 ·Status: RECRUITING ·Phase: NA
-
Comparative Effectiveness of Operative Versus Non-Operative Treatments for Rotator Cuff Tears
NCT02287090 ·Status: COMPLETED
-
Subscapularis Repair in Reverse Shoulder Arthroplasty
NCT05438914 ·Status: RECRUITING ·Phase: NA
-
The Role of Subscapularis Repair in Reverse Shoulder Arthroplasty
NCT03727490 ·Status: COMPLETED ·Phase: NA
-
Clinical Evaluation of Reverse Versus Anatomic Shoulder Arthroplasty Techniques in the Treatment of Osteoarthritis
NCT05395819 ·Status: RECRUITING ·Phase: NA
-
TSA v RSA in Osteoarthritic Shoulders With Greater Than 15 Degrees of Retroversion
NCT05487274 ·Status: RECRUITING ·Phase: NA
-
Operative Versus Non-Operative Treatment for Atraumatic Rotator Cuff Tears
NCT03295994 ·Status: COMPLETED ·Phase: NA
-
SMR Stemless Reverse Vs SMR Reverse Shoulder System
NCT04697004 ·Status: RECRUITING ·Phase: NA
-
Comparison of Lateralized RTSA With and Without Subscapularis Repair
NCT04728282 ·Status: RECRUITING ·Phase: NA
-
Anatomic Versus Reverse Shoulder Arthroplasty for Primary Glenohumeral Osteoarthritis
NCT06513559 ·Status: WITHDRAWN ·Phase: NA
-
Impact of Humeral Component Version on Outcomes Following RTSA
NCT03111147 ·Status: COMPLETED ·Phase: NA
-
Home Exercise vs PT for Reverse Total Shoulder Arthroplasty
NCT03719859 ·Status: COMPLETED ·Phase: NA
-
Reverse Shoulder Replacement: Formal vs. Home Physiotherapy
NCT03430167 ·Status: COMPLETED ·Phase: NA
-
A Post-Market Clinical Evaluation of the ReUnion Reverse Shoulder Arthroplasty (RSA) System
NCT03880955 ·Status: TERMINATED
-
Total vs. Reverse Shoulder Replacement: Pain Relief Two Years After Surgery
NCT01884077 ·Status: TERMINATED ·Phase: NA
-
Retroversion in Reverse Shoulder Arthroplasty
NCT05788614 ·Status: RECRUITING ·Phase: NA
-
Electromyography Evaluation of Subscapularis Function After Total Shoulder Arthroplasty
NCT00779974 ·Status: COMPLETED
-
Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain
NCT03528499 ·Status: COMPLETED ·Phase: NA
-
A Randomized Controlled Trial on the Effectiveness of Early Versus Conservative Rehabilitation Following Rotator Cuff Repair
NCT07324174 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Arthroscopic Rotator Cuff Repair With Synovectomy
NCT03061942 ·Status: COMPLETED ·Phase: NA