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The Cross-sectional Area of the Long Head of the Biceps Tendon and the Rotator Cuff Tear Position

Primary Purpose

Rotator Cuff Tears

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Arthroscopic rotator cuff repair
Sponsored by
RenJi Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rotator Cuff Tears focused on measuring long head of the bicep tendon, rotator cuff tear, cross-sectional area

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • partial or full-thickness but reparable rotator cuff tear;
  • small- to large-sized rotator cuff tears being defined by DeOrio and Cofied4;
  • no improvements after at least 1 month of conservative treatment such as NSAIDs or corticosteroid injection.

Exclusion Criteria:

  • massive rotator cuff tears being defined by DeOrio and Cofied;
  • patients with osteoarthritis of the glenohumeral joint;
  • trauma or a history of surgery at the shoulder.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Anterior tear group

    Middle tear group

    Posterior tear group

    Arm Description

    The rotator cuff was divided into three parts according to the arthroscopic discovery: (1) the anterior part which contained the subsacpularis and one third of the suprascapularis forward; (2) the middle part which contained the two thirds of the suprascapularis backward and one third of the subscapularis forward; (3) the posterior part which contained two thirds of subscapularis backward and teres minor. The patients with rotator cuff tear at the anterior part were categorized in the anterior tear group.

    The rotator cuff was divided into three parts according to the arthroscopic discovery: (1) the anterior part which contained the subsacpularis and one third of the suprascapularis forward; (2) the middle part which contained the two thirds of the suprascapularis backward and one third of the subscapularis forward; (3) the posterior part which contained two thirds of subscapularis backward and teres minor. The patients with rotator cuff tear at the middle part were categorized in the middle tear group.

    The rotator cuff was divided into three parts according to the arthroscopic discovery: (1) the anterior part which contained the subsacpularis and one third of the suprascapularis forward; (2) the middle part which contained the two thirds of the suprascapularis backward and one third of the subscapularis forward; (3) the posterior part which contained two thirds of subscapularis backward and teres minor. The patients with rotator cuff tear at the posterior part were categorized in the posterior tear group.

    Outcomes

    Primary Outcome Measures

    Pre-operative measurement of the cross-sectional area of the long head of bicep tendon
    According to the pre-operative MRI scan, two sites of the long head of biceps tendon were measured by the Image-Pro Plus 6.0 software. One was the plane that passed the center of the glenoid cavity, the other one was the plane that passed the distal border of the glenoid cavity. The contour of the long head of biceps tendon was traced and the area was calculated by the software according to the MRI's scale.

    Secondary Outcome Measures

    Post-operative measurement of the cross-sectional area of the long head of bicep
    According to the MRI scan 2 months after the surgery, two sites of the long head of biceps tendon were measured by the Image-Pro Plus 6.0 software. One was the plane that passed the center of the glenoid cavity, the other one was the plane that passed the distal border of the glenoid cavity. The contour of the long head of biceps tendon was traced and the area was calculated by the software according to the MRI's scale.

    Full Information

    First Posted
    July 25, 2022
    Last Updated
    July 27, 2022
    Sponsor
    RenJi Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05477771
    Brief Title
    The Cross-sectional Area of the Long Head of the Biceps Tendon and the Rotator Cuff Tear Position
    Official Title
    The Correlation Between the Cross-sectional Area of the Long Head of the Biceps Tendon and the Tear Position in Patients With Rotator Cuff Tears
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    July 29, 2022 (Anticipated)
    Primary Completion Date
    August 15, 2022 (Anticipated)
    Study Completion Date
    August 22, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    RenJi Hospital

    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 main aim and scope of this study is making measurement and comparison of the cross-sectional area of the long head of the biceps tendon(LHBT) in the patients suffered form rotator cuff tear with different tear positions, and making observation and comparison of the impairment type of the LHBT in the patients suffered from rotator cuff tear with different tear positions. The results may identify the influence of the tear position on the LHBT.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Rotator Cuff Tears
    Keywords
    long head of the bicep tendon, rotator cuff tear, cross-sectional area

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    38 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Anterior tear group
    Arm Type
    Experimental
    Arm Description
    The rotator cuff was divided into three parts according to the arthroscopic discovery: (1) the anterior part which contained the subsacpularis and one third of the suprascapularis forward; (2) the middle part which contained the two thirds of the suprascapularis backward and one third of the subscapularis forward; (3) the posterior part which contained two thirds of subscapularis backward and teres minor. The patients with rotator cuff tear at the anterior part were categorized in the anterior tear group.
    Arm Title
    Middle tear group
    Arm Type
    Experimental
    Arm Description
    The rotator cuff was divided into three parts according to the arthroscopic discovery: (1) the anterior part which contained the subsacpularis and one third of the suprascapularis forward; (2) the middle part which contained the two thirds of the suprascapularis backward and one third of the subscapularis forward; (3) the posterior part which contained two thirds of subscapularis backward and teres minor. The patients with rotator cuff tear at the middle part were categorized in the middle tear group.
    Arm Title
    Posterior tear group
    Arm Type
    Experimental
    Arm Description
    The rotator cuff was divided into three parts according to the arthroscopic discovery: (1) the anterior part which contained the subsacpularis and one third of the suprascapularis forward; (2) the middle part which contained the two thirds of the suprascapularis backward and one third of the subscapularis forward; (3) the posterior part which contained two thirds of subscapularis backward and teres minor. The patients with rotator cuff tear at the posterior part were categorized in the posterior tear group.
    Intervention Type
    Procedure
    Intervention Name(s)
    Arthroscopic rotator cuff repair
    Intervention Description
    The rotator cuff tears were repaired under arthroscopy. A subacromial decompression was performed in all patients. Then the long head of the biceps with severe lesions were treated by tenotomy while the others were reserved according to the surgeon's judgment during the surgery.
    Primary Outcome Measure Information:
    Title
    Pre-operative measurement of the cross-sectional area of the long head of bicep tendon
    Description
    According to the pre-operative MRI scan, two sites of the long head of biceps tendon were measured by the Image-Pro Plus 6.0 software. One was the plane that passed the center of the glenoid cavity, the other one was the plane that passed the distal border of the glenoid cavity. The contour of the long head of biceps tendon was traced and the area was calculated by the software according to the MRI's scale.
    Time Frame
    Pre-operative
    Secondary Outcome Measure Information:
    Title
    Post-operative measurement of the cross-sectional area of the long head of bicep
    Description
    According to the MRI scan 2 months after the surgery, two sites of the long head of biceps tendon were measured by the Image-Pro Plus 6.0 software. One was the plane that passed the center of the glenoid cavity, the other one was the plane that passed the distal border of the glenoid cavity. The contour of the long head of biceps tendon was traced and the area was calculated by the software according to the MRI's scale.
    Time Frame
    2 months after the surgery

    10. Eligibility

    Sex
    All
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: partial or full-thickness but reparable rotator cuff tear; small- to large-sized rotator cuff tears being defined by DeOrio and Cofied4; no improvements after at least 1 month of conservative treatment such as NSAIDs or corticosteroid injection. Exclusion Criteria: massive rotator cuff tears being defined by DeOrio and Cofied; patients with osteoarthritis of the glenohumeral joint; trauma or a history of surgery at the shoulder.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Lin Du
    Phone
    86-13817371926
    Email
    sato316@163.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Lin Du
    Organizational Affiliation
    RenJi Hospital
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    The Cross-sectional Area of the Long Head of the Biceps Tendon and the Rotator Cuff Tear Position

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