Abduction Brace Versus Antirotation Sling for Immobilization Following Reverse Shoulder Arthroplasty and Rotator Cuff Repair
Rotator Cuff Tear Arthropathy, Rotator Cuff Tear
About this trial
This is an interventional treatment trial for Rotator Cuff Tear Arthropathy focused on measuring Postoperative shoulder immobilization, Reverse total shoulder arthroplasty, Neutral rotation shoulder brace, Antirotation sling
Eligibility Criteria
Inclusion Criteria:
- patients 18 years and above
- male or female Rotator cuff tear patients - adults with a small or medium-sized (less than 3 cm in the anteroposterior dimension) full-thickness tear of supraspinatus and/or infraspinatus tendon, diagnosed with MRI or ultrasound, unresponsive to conservative therapy for >3 months
Reverse total shoulder arthroplasty patients - adults with rotator cuff arthropathy, glenohumeral joint arthritis with significant glenoid wear or retroversion requiring reverse arthroplasty or massive irreparable rotator cuff tear, functional deltoid, as demonstrated on x-rays, MRI, and physical exam. Failed conservative management for >3 months
Exclusion Criteria:
- younger than 18 years old
- chronic opiate use, fibromyalgia
- Rotator cuff repair patients - no previous rotator cuff repair surgery, no concomitant preoperative stiffness (definition: < 30 degree passive external rotation, < 100 degree passive forward elevation), no concomitant full-thickness subscapularis tear, no neurologic disorder affecting the ipsilateral upper extremity, no concomitant cervical pathology, partial thickness tear, large or massive tears (>3cm in the anteroposterior dimension), glenohumeral or rotator cuff arthropathy, history of rheumatoid arthritis.
- Reverse total shoulder arthroplasty patients -no concomitant preoperative stiffness (definition: < 30 degree passive external rotation, < 100 degree passive forward elevation), no concomitant neurologic disorder affecting the ipsilateral upper extremity, no concomitant cervical pathology.
arthroplasty for fracture, revision surgery, insufficient bone stock requiring hemiarthroplasty, deltoid dysfunction, history of rheumatoid arthritis.
- prisoners
- non English speaking or unable to understand consent
Sites / Locations
- University of Missouri
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Antirotation sling
abduction brace
Patients who undergo reverse shoulder arthroplasty or rotator cuff repair will be randomly assigned to this group.
Patients who undergo reverse shoulder arthroplasty or rotator cuff repair will be randomly assigned to this group.