Comparing the Outcomes Between Rotator Cuff Repair With and Without Suprascapular Nerve Decompression

Study Overview
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Brief Summary
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The purpose of the study is to compare the differences in outcome between the traditional rotator cuff repair surgery and rotator cuff repair with suprascapular nerve decompression surgery.

Detailed Description
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The suprascapular nerve is intimately related to the function and likely recovery of the rotator cuff musculature. Retracted rotator cuff tears have recently been shown to effect both the physical path in which the suprascapular nerve travels, as well as its physiologic function. This study will be a randomized control trial with long term follow up that will add to and elaborate on the positive outcomes reported in other trials. Patients that have a rotator cuff tears with greater than or equal to 1 cm of retraction that have failed conservative treatment and require operative repair will qualify for the study. They will be randomized into two arms: In one arm, patients will undergo suprascapular nerve release immediately after their rotator cuff repair; they will be compared to patients that have rotator cuff repair with no release of the nerve. Post operatively, at different time intervals, patients will be expected to fill out multiple standardized, well established surveys that assess the patients pain level and shoulder function.

Official Title
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Will Routine Suprascapular Nerve Release During Arthroscopic Rotator Cuff Repair Improve Patient Outcomes?

Conditions
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Rotator Cuff Tear

Intervention / Treatment
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* Procedure: Rotator Cuff Repair without Suprascapular Nerve decompression
* Procedure: Rotator Cuff Repair with Suprascapular Nerve decompression


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Reparable full thickness supraspinatus and or infraspinatus rotator cuff tears regardless of retraction Exclusion Criteria: Patients less than 18 years of age Irreparable rotator cuff tears

Ages Eligible for Study
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Minimum Age: 18 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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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Rotator cuff repair without Suprascapular Nerve decompression<br>approximately 17 subjects in the study will receive traditional rotator cuff repair surgical intervention with no suprascapular nerve decompression surgical intervention | Procedure: Rotator Cuff Repair without Suprascapular Nerve decompression<br>* Traditional rotator cuff repair without Suprascapular nerve decompression<br>|
| Active Comparator: Rotator Cuff Repair with Suprascapular Nerve decompression<br>approximately 17 subjects in the study will undergo rotator cuff repair with arthroscopic suprascapular nerve decompression surgical intervention | Procedure: Rotator Cuff Repair with Suprascapular Nerve decompression<br>* Traditional rotator cuff repair with Suprascapular nerve decompression<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| American Shoulder and Elbow Surgeons (ASES) Shoulder Score | The scale measures pain from 0 to 10 and also includes a questionnaire for assessing the activity of daily living. | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Constant Shoulder Score | It includes pain score, functional assessment, range of motion and strength measures | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Randomized Controlled Trial, Rotator Cuff Tear, Suprascapular Nerve, Decompression, Shoulder Surgery