Subacromial Decompression Versus Subacromial Bursectomy for Patients With Rotator Cuff Tendinosis
Tendinosis, Shoulder Impingement Syndrome
About this trial
This is an interventional treatment trial for Tendinosis focused on measuring Rotator Cuff, Tendinosis, Impingement Syndrome, Partial Thickness Tears, Rotator Cuff Tendinosis, Partial Thickness Rotator Cuff Tears
Eligibility Criteria
Inclusion Criteria: Diagnosis of stage II rotator cuff impingement syndrome defined as: Pain referred to the anterior, lateral, or superior shoulder Pain exacerbated by overhead and reaching activities Positive Neer and/or Hawkins impingement signs Failure of 6 months of conservative treatment. Failed conservative treatment will be defined as persistent pain and disability despite adequate non-operative management for 6 months. Non-operative management will be defined as: Modification of activities The use of analgesic and/or anti-inflammatory medication Physiotherapy: Physiotherapy must have included the goal of regaining full range of motion, working towards normal kinematics through increased strength of the rotator cuff muscles. Patients should have obtained range of motion to 80% of the opposite shoulder (assuming this is normal) for each of: internal rotation, external rotation, and forward elevation. A physiotherapy program that involved massage, ultrasound, and/or heat only would not be considered adequate treatment for this study. Patients willing to be followed on a regular basis Patients 18 years of age and older Exclusion Criteria: Clinical evidence or history of major joint trauma, infection, surgery, glenohumeral arthritis, or instability. Clinical evidence of internal impingement. Patients with full-thickness rotator cuff tear as documented on advanced imaging or during surgery. Patients with bursal surface tears as documented on advanced imaging or during surgery. Patients who are found during surgery to have a partial-thickness tear greater than 50% of tendon thickness. Patients with evidence of a lateral down sloping acromion. Patients unfit for surgery Patients unable to provide informed consent or adequately participate in this study due to a language barrier or psychiatric illness. Patients with a major medical illness whose condition or treatment would affect their quality of life and, as such, affect the results of this study.
Sites / Locations
- University of Calgary Sport Medicine Centre
- Royal Columbian Hospital
- Pan Am Medical and Surgical Centre
- Fowler Kennedy Sport Medicine Clinic
- Hand and Upper Limb Clinic
- Orthopaedic and Arthritic Hospital
Arms of the Study
Arm 1
Active Comparator
Shoulder bursectomy and acromioplasty