No registrations found.
ID
Source
Brief title
Health condition
rotator cuff tear
massive rotator cuff tear
shoulder complaints
rotator cuff pathology
Sponsors and support
Intervention
Outcome measures
Primary outcome
Constant score at 1 year postoperatively
Secondary outcome
Constant score at 3 and 6 months postoperatively.
At 3,6 and 12 months postoperatively.
Range of motion using a goniometer and an electromagnetic tracking device.
EMG activity of various shoulder muscles.
Visual analogue scale for pain.
Complications
Re-operations or other interventions.
SF-12
DASH
WORC
Study objective
Teres Major muscle transfer group will show
significant better improvement in active abduction and external rotation than the LD group after 1 year.
Study design
3-6 and 12 months postoperatively
Intervention
Teres major muscle transfer versus latissimus dorsi muscle transfer
The patient is positioned in lateral position on the unaffected side. The first skin incision runs just above the posterior pillar of the armpit. The muscle of interest is identified,
transversing under the medial head or the triceps.
dorsi. The axillary and radial nerves are identified above and below the tendon insertion.
The tendon is detached from the humerus. The second skin incision is made lateral from the acromion process (deltoid split approach). The deltoid is split and the subdeltoid bursaopened. The rotator cuff is examined. The tendon is passed under the posterior part of the deltoid muscle to the subacromial space. The tendon is inserted in the m. infraspinatus area using one or two bone-anchors.
Postbus 9600
R.G.H.H. Nelissen
Leiden 2300 RC
The Netherlands
+31 (0)71 5269111
R.G.H.H.Nelissen@lumc.nl
Postbus 9600
R.G.H.H. Nelissen
Leiden 2300 RC
The Netherlands
+31 (0)71 5269111
R.G.H.H.Nelissen@lumc.nl
Inclusion criteria
1) Patients suffering MRI proven massive RC tears. A massive Rotator Cuff tear is defined as a type III tear according to Davidson et al. Retraction grade II or III acoording to Patte and Grade >II fatty infiltration.
2) Invalidating pain of the affected shoulder
3) Functional deficit (loss of external rotation and/or abduction)
Exclusion criteria
-Tear of the m. subscapularis
-Radiographic osteoarthritis of the glenohumeral joint of Kellgren > grade 2
and/or acromioclavicular joint and/or sternoclavicular joint
- History of fractures or dislocation of the shoulder
- Tumors
- No informed consent
- Insufficient Dutch Language skills
- Age <18 years and >80
- Contra-indications for surgery
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4580 |
| NTR-old | NTR4721 |
| Other | 37838 CCMO : P11.183 METC LUMC |