Ignite Creation Date:
2024-10-26 @ 3:43 PM
Last Modification Date:
2024-10-26 @ 3:43 PM
Study NCT ID:
NCT06648941
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
None
First Post:
2024-10-01
Brief Title:
Evaluation of Medial Supraspinatus Muscle Release in Treatment of Retracted Rotator Cuff Tear
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Evaluation of Medial Supraspinatus Muscle Release in Treatment of Retracted Rotator Cuff Tear
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
- Introduction Rotator cuff tears are a prevalent cause of shoulder pain and dysfunction particularly among individuals engaged in repetitive overhead activities or advancing in age The supraspinatus muscle integral to shoulder function initiates abduction and provides essential stability to the glenohumeral joint When the supraspinatus tendon tears and retracts surgical intervention is often necessary to restore function and alleviate symptoms 1 Traditional surgical approaches for retracted rotator cuff tears typically involve reattaching the tendon to the greater tuberosity of the humerus However severe retraction can lead to challenges during repair including increased tension on the repair site potentially compromising healing and increasing the risk of re-tears Partial Repair with or without Augmentation In cases of moderate retraction where complete tendon mobilization is challenging a partial repair combined with augmentation techniques eg patch augmentation autografts allografts may be considered to optimize tendon-to-bone healing
Tendon Transfer For massive irreparable tears or poor tendon quality tendon transfer procedures eg transferring the teres minor or lower trapezius tendon may be necessary to restore function and shoulder stability 2 To address these challenges medial release of the supraspinatus tendon from its attachment on the medial border of the scapula has emerged as a promising technique
Medial release involves detaching the supraspinatus tendon from its scapular attachment and mobilizing it medially This technique aims to reduce tension at the repair site allowing for better tendon apposition and potentially improving healing outcomes Proponents suggest that medial release enhances biomechanical strength and reduces the risk of postoperative complications such as re-tears However the techniques optimal application outcomes and comparative effectiveness against traditional repair methods remain subjects of ongoing research and debate within the orthopedic community 3
Given the complexity and variability of retracted rotator cuff tears a systematic evaluation of medial release is crucial to clarify its efficacy safety and role in surgical management This protocol outlines a comprehensive framework for evaluating medial release of the supraspinatus tendon in the repair of retracted rotator cuff tears The study aims to provide evidence-based insights that can guide surgical decision-making improve patient outcomes and advance the field of shoulder surgery
Furthermore medial release may enhance the biomechanical integrity of the repair By optimizing tendon positioning and tension during repair it could improve the mechanical strength of the repair construct This aspect is crucial for achieving durable outcomes and preventing repair failure over time
Tendon Transfer For massive irreparable tears or poor tendon quality tendon transfer procedures eg transferring the teres minor or lower trapezius tendon may be necessary to restore function and shoulder stability 2 To address these challenges medial release of the supraspinatus tendon from its attachment on the medial border of the scapula has emerged as a promising technique
Medial release involves detaching the supraspinatus tendon from its scapular attachment and mobilizing it medially This technique aims to reduce tension at the repair site allowing for better tendon apposition and potentially improving healing outcomes Proponents suggest that medial release enhances biomechanical strength and reduces the risk of postoperative complications such as re-tears However the techniques optimal application outcomes and comparative effectiveness against traditional repair methods remain subjects of ongoing research and debate within the orthopedic community 3
Given the complexity and variability of retracted rotator cuff tears a systematic evaluation of medial release is crucial to clarify its efficacy safety and role in surgical management This protocol outlines a comprehensive framework for evaluating medial release of the supraspinatus tendon in the repair of retracted rotator cuff tears The study aims to provide evidence-based insights that can guide surgical decision-making improve patient outcomes and advance the field of shoulder surgery
Furthermore medial release may enhance the biomechanical integrity of the repair By optimizing tendon positioning and tension during repair it could improve the mechanical strength of the repair construct This aspect is crucial for achieving durable outcomes and preventing repair failure over time
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None