Subscap Reverse Shoulder Arthroplasty

Launched by UNIVERSITY OF MARYLAND, BALTIMORE · Apr 18, 2022

Keywords

ClinConnect Summary

This clinical trial is studying the effects of repairing a specific shoulder tendon called the subscapularis during a procedure known as reverse shoulder arthroplasty. This surgery is often performed for shoulder injuries, including problems with the rotator cuff. Researchers want to find out if fixing this tendon can help patients recover better or if it might cause issues with movement afterward. They are also looking into whether repairing the tendon can reduce the risk of dislocation, which is a rare but concerning complication after surgery. The trial will involve 148 patients, and participants will need to attend follow-up appointments at various points after their surgery for up to two years.

To be eligible for this study, participants must be between 18 and 95 years old and planning to undergo reverse shoulder surgery. However, those with certain conditions, like an irreparable subscapularis tendon or specific types of shoulder fractures, will not be able to participate. It's important to note that joining this study is voluntary, and while there may not be direct benefits from participation, the information gained could help improve future treatments for shoulder injuries. Participants won't have to pay anything to take part in the study.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. 18 to 95 years old
• • 2. Undergoing reverse shoulder arthroplasty for any indication including revision surgery
• Exclusion Criteria:
• • 1. Irreparable Subscapularis Tendon
• • a. Reparability of Subscapularis will be determined based on MRI or CT scan obtained preoperatively and confirmed intraoperatively. Tendons must be intact with less than Grade I or II Fatty Infiltration as determined by the Goutallier classification.
• • 2. Any history of proximal humerus fracture
• • 3. Any revision with proximal humerus bone loss