Clinical & Radiological Assessment of Rotator Cuff Healing After Single Row Vs. Double Row Rotator Cuff Repair

Study Overview
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Brief Summary
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This study is to analyse whether there is a difference in clinical and radiological outcomes between single row and double row repair techniques for the treatment of shoulder's rotator cuff tears.

Detailed Description
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A tear of the rotator cuff is one of the most common disorders of the shoulder and can have a significant effect on daily activities as a result of a loss of motion and strength. The goal of rotator cuff repair is to treat the patient's current clinical symptoms and improve shoulder function and to prevent the long-term consequences of rotator cuff arthropathy. This project aims at a retrospective analysis of preexisting risk factors for sustaining rotator cuff injury as well as for failing to reach the previous functional level, used surgical technique -either single row repair or double row repair- and its significance for the functional outcome.

Official Title
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Clinical & Radiological Assessment of Rotator Cuff Healing After Single Row Vs. Double Row Rotator Cuff Repair; a Comparative Study

Conditions
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Rotator Cuff Injury

Intervention / Treatment
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* Other: single row repair technique
* Other: double row repair technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Treated by single row or double row repair technique for shoulder's rotator cuff tears Time lapse from injury to surgery ranges from one day to less than 1 year Availability of clinical and radiological outcomes from 6 months to 1 year follow up Exclusion Criteria: Massive irreparable tear Patient has frozen shoulder Chronically retracted tendons and atrophic rotator cuff muscles

Ages Eligible for Study
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Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| single row repair technique<br>patients surgically treated for rotator cuff lesion by single row repair technique | Other: single row repair technique<br>* single row repair technique<br>|
| double row repair technique<br>patients surgically treated for rotator cuff lesion by double row repair technique | Other: double row repair technique<br>* double row repair technique<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Radiologic assessment of surgical treatment of rotator cuff tear | X-ray shoulder for assessment of acromiohumeral space and morphology (Millimeters) | directly postoperative (within 24 hours after surgery) | 
| Magnetic resonance imaging (MRI) of surgical treatment of rotator cuff tear | MRI shoulder to asses morphology of shoulder | directly postoperative (within 24 hours after surgery) | 
| Ultrasonography of surgical treatment of rotator cuff tear | Ultrasonography to evaluate the healing of the tendon at the bone interface and degree of gap Formation (degree) | From 6 months up to 1 year postoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Active range of motion | Active range of motion of shoulder (degrees) | At six months and one year follow up after surgery | 
| Passive range of motion | Passive range of motion of shoulder (degrees) | At six months and one year follow up after surgery | 
| Use of analgesics | Use of analgesics (yes/no) | At six months after surgery | 
| Use of analgesics | Use of analgesics (yes/no) | At one year follow up after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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rotator cuff repair, rotator cuff tear, single row repair technique, double row repair technique