search
Back to results

RC Repair Versus Subacromial Balloon Spacer in Older Adults

Primary Purpose

Rotator Cuff Tears

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Subacromial spacer implantation
Rotator cuff repair
Sponsored by
Panam Clinic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rotator Cuff Tears focused on measuring rotator cuff repair, subacromial spacer, older adults

Eligibility Criteria

70 Years - undefined (Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: 70 years of age or older clinical and radiological diagnosis of a full thickness supraspinatus (or larger) RC tear >2cm or more than 1 full tendon ongoing symptoms after 3 months of physiotherapy a tendon amenable to partial or complete repair (as determined by pre-operative MRI) absence glenohumeral arthritis (Hamada < 3) absence of neoplastic diseases at treated site Exclusion Criteria: previous surgery or pseudoparalysis on study shoulder complete subscapularis deficiency external rotation lag signs avascular necrosis post-infectious arthritis proximal humerus fracture inflammatory arithritis axillary nerve palsy concomitant tendon transfer neuromuscular disorder unable to speak/read English Intra-operative Exclusion: -tendon is NOT amenable to partial or complete repair

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Subacromial spacer implantation

    Rotator Cuff Repair

    Arm Description

    Outcomes

    Primary Outcome Measures

    Study feasibility - randomized
    Percentage of patients randomized
    Study feasibility - recruitment
    Number of screened patients and proportion that are deemed eligible that consent
    Study feasibility - surgery
    Consensus among surgeon co-investigators regarding the standardized peri-operative orders and surgical techniques.

    Secondary Outcome Measures

    ASES Score
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America.
    ASES Score
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America
    ASES Score
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America
    ASES Score
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America
    ASES Score
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America
    EQ5D-3L
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    EQ5D-3L
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    EQ5D-3L
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    EQ5D-3L
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    EQ5D-3L
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    SANE Score
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    SANE Score
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    SANE Score
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    SANE Score
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    SANE Score
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    Constant Score
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Constant Score
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Constant Score
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Constant Score
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Constant Score
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Range of Motion
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Range of Motion
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Range of Motion
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Range of Motion
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Range of Motion
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Isometric Strength
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Isometric Strength
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Isometric Strength
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Isometric Strength
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Isometric Strength
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.

    Full Information

    First Posted
    February 1, 2023
    Last Updated
    March 27, 2023
    Sponsor
    Panam Clinic
    Collaborators
    University of Manitoba
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT05788250
    Brief Title
    RC Repair Versus Subacromial Balloon Spacer in Older Adults
    Official Title
    Randomized Clinical Trial Comparing Rotator Cuff Repair (RCR) With Subacromial Balloon Spacer (SBS) Implantation
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    April 2023 (Anticipated)
    Primary Completion Date
    October 2026 (Anticipated)
    Study Completion Date
    October 2027 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Panam Clinic
    Collaborators
    University of Manitoba

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this pilot study is to assess the feasibility of a full randomized trial design.
    Detailed Description
    The feasibility objectives are: Recruitment To establish an estimate of the proportion of patients screened who are eligible for inclusion, and of those, the proportion who consent. To establish an estimate of the proportion of eligible patients with medium/large tears versus massive tears. Surgery -to confirm agreement among surgeons regarding the protocol's standardized surgical techniques of both groups. Clinical objectives for observational purposes only are as follows: Patient reported and clinical outcomes. Number of "failures" in each group (defined as additional surgery and/or having <12% improvement in SANE score from baseline).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Rotator Cuff Tears
    Keywords
    rotator cuff repair, subacromial spacer, older adults

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    This a double-blind (patient and assessor), parallel, 1:1 multicentre randomized pilot study comparing patients 70 years and older randomized to SBS or RCR. 32 participants from eight orthopaedic surgeons at four sites will be recruited over a one-year period. Randomization will be generated using a web-based system pre-operatively and stratified to ensure 8 medium/large tears and 8 massive tears are allocated to each group.
    Masking
    ParticipantOutcomes Assessor
    Masking Description
    Patients will be blinded to their group allocation. This is possible because the incision and rehabilitation processes are consistent between groups. It is not possible for the treating surgeon to be blinded to group allocation, therefore a research team member (athletic or physical therapist) will remain blinded to group allocation and conduct all study related assessments as well as administer the patient-reported questionnaires. This will be maintained by the participant not removing their shirt during the study assessment. Patients will not be informed of which procedure they will undergo until the study is complete.
    Allocation
    Randomized
    Enrollment
    32 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Subacromial spacer implantation
    Arm Type
    Experimental
    Arm Title
    Rotator Cuff Repair
    Arm Type
    Active Comparator
    Intervention Type
    Procedure
    Intervention Name(s)
    Subacromial spacer implantation
    Intervention Description
    A biodegradable balloon implanted arthroscopically between the acromion and humeral head with tenotomy of long head of biceps.
    Intervention Type
    Procedure
    Intervention Name(s)
    Rotator cuff repair
    Intervention Description
    Rotator cuff repair with tenotomy of long head of biceps.
    Primary Outcome Measure Information:
    Title
    Study feasibility - randomized
    Description
    Percentage of patients randomized
    Time Frame
    1 year
    Title
    Study feasibility - recruitment
    Description
    Number of screened patients and proportion that are deemed eligible that consent
    Time Frame
    1 year
    Title
    Study feasibility - surgery
    Description
    Consensus among surgeon co-investigators regarding the standardized peri-operative orders and surgical techniques.
    Time Frame
    1 year
    Secondary Outcome Measure Information:
    Title
    ASES Score
    Description
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America.
    Time Frame
    Baseline, pre-operative
    Title
    ASES Score
    Description
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America
    Time Frame
    3 Months, post-operative
    Title
    ASES Score
    Description
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America
    Time Frame
    6 Months, post-operative
    Title
    ASES Score
    Description
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America
    Time Frame
    12 Months, post-operative
    Title
    ASES Score
    Description
    The ASES is a patient-reported upper extremity-specific functional assessment tool and is scored out of a maximum 100 points, where 100 represents maximum function and no pain (Richards et al., 1994). It has a pain component measured on a visual analog scale as well as ten Likert-scale questions on function (e.g., put on a coat, sleep on affected side). The ASES is reliable and is validated for this population and is one of the most commonly used shoulder outcomes in North America
    Time Frame
    24 Months, post-operative
    Title
    EQ5D-3L
    Description
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    Time Frame
    Baseline, pre-operative
    Title
    EQ5D-3L
    Description
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    Time Frame
    3 Months, post-operative
    Title
    EQ5D-3L
    Description
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    Time Frame
    6 Months, post-operative
    Title
    EQ5D-3L
    Description
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    Time Frame
    12 Months, post-operative
    Title
    EQ5D-3L
    Description
    The EQ-5D is valid, reliable, responsive PROM used to document overall wellness based on 5 dimensions: mobility, self-care, usual activities, pain, anxiety/depression (Herdman et al., 2011). A single value is calculated (the value index), which indicates how good or bad a patient's health state is relative to a specified population. There are two components, VAS for general health, with 0 minimum and 100 maximum, with higher scores being more positive. The second component is a 25 point scale with minimum 5 and maximum 25 wit h lower scores more positive.
    Time Frame
    24 Months, post-operative
    Title
    SANE Score
    Description
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    Time Frame
    Baseline, pre-operative
    Title
    SANE Score
    Description
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    Time Frame
    3 Months, post-operative
    Title
    SANE Score
    Description
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    Time Frame
    6 Months, post-operative
    Title
    SANE Score
    Description
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    Time Frame
    12 Months, post-operative
    Title
    SANE Score
    Description
    The Single Assessment Numeric Evaluation (SANE) score is a single question that asks patients to rate their affected shoulder as a percentage of normal to provide a simple and efficient measure of patient outcome (Gowd et al., 2019). Patients will be asked the following question: "How would you rate your affected shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?"
    Time Frame
    24 Months, post-operative
    Title
    Constant Score
    Description
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Time Frame
    Baseline, pre-operative
    Title
    Constant Score
    Description
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Time Frame
    3 Months, post-operative
    Title
    Constant Score
    Description
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Time Frame
    6 Months, post-operative
    Title
    Constant Score
    Description
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Time Frame
    12 Months, post-operative
    Title
    Constant Score
    Description
    The Constant Score is validated and reliable PROM/clinical tool used to evaluate overall shoulder function based on pain, activities of daily living, and the clinical evaluation of ROM and strength (Constant & Murley, 1987). This score is widely reported in European-based literature. Minimum value is 0 and maximum value is 100, with higher scores being a better outcome.
    Time Frame
    24 Months, post-operative
    Title
    Range of Motion
    Description
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Time Frame
    Baseline, pre-operative
    Title
    Range of Motion
    Description
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Time Frame
    3 Months, post-oeprative
    Title
    Range of Motion
    Description
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Time Frame
    6 Months, post-operative
    Title
    Range of Motion
    Description
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Time Frame
    12 Months, post-operative
    Title
    Range of Motion
    Description
    For both shoulders, forward flexion and external rotation at 0 and 90 degrees abduction will be measured with a goniometer and reported in degrees.
    Time Frame
    24 Months, post-oeprative
    Title
    Isometric Strength
    Description
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Time Frame
    Baseline, pre-operative
    Title
    Isometric Strength
    Description
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Time Frame
    3 Months, post-operative
    Title
    Isometric Strength
    Description
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Time Frame
    6 Months, post-operative
    Title
    Isometric Strength
    Description
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Time Frame
    12 Months, post-operative
    Title
    Isometric Strength
    Description
    Measured using a hand-held dynamometer, in flexion, abduction, and external rotation.
    Time Frame
    24 Months, post-operative

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 70 years of age or older clinical and radiological diagnosis of a full thickness supraspinatus (or larger) RC tear >2cm or more than 1 full tendon ongoing symptoms after 3 months of physiotherapy a tendon amenable to partial or complete repair (as determined by pre-operative MRI) absence glenohumeral arthritis (Hamada < 3) absence of neoplastic diseases at treated site Exclusion Criteria: previous surgery or pseudoparalysis on study shoulder complete subscapularis deficiency external rotation lag signs avascular necrosis post-infectious arthritis proximal humerus fracture inflammatory arithritis axillary nerve palsy concomitant tendon transfer neuromuscular disorder unable to speak/read English Intra-operative Exclusion: -tendon is NOT amenable to partial or complete repair
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Sheila McRae, PhD
    Phone
    204-925-7469
    Email
    smcrae@panamclinic.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Brenna Cyr, BKin
    Phone
    204-927-2828
    Email
    bcyr@panamclinic.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jarret Woodmass, MD
    Organizational Affiliation
    Pan Am Clinic
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    RC Repair Versus Subacromial Balloon Spacer in Older Adults

    We'll reach out to this number within 24 hrs