NCT06729983

Prophylactic Conjoint Tendon Lengthening During Reverse Shoulder Arthroplasty Outcomes

Study Contact:

Nickolas G Garbis, MD - Role: CONTACT - Phone: 708-254-5312 - Email: ngarbis@lumc.edu
Dane H Salazar, MD, MBA - Role: CONTACT - Phone: 773-562-0456 - Email: dsalazar@lumc.edu

Study Phase:

Recruitment Status:

RECRUITING

NCT ID:

NCT06729983

Principal Investigator:

Study Type:

INTERVENTIONAL

Official Title:

Prophylactic Conjoint Tendon Lengthening During Reverse Shoulder Arthroplasty: is There a Difference in Anterior Shoulder Pain At One Year After Surgery?

Summary

Some patients may experience persistent pain in the front of their shoulder after reverse shoulder replacement. One of the possible reasons for this is that the surgery causes a change in the alignment of your shoulder joint, which may cause increased tension and compression on one of your biceps tendon called the conjoint tendon. The picture below illustrates this change. The purpose of this study is to evaluate whether conjoint tendon lengthening, a surgical procedure that involves cutting and lengthening the conjoint tendon in order to reduce tension and compression, is able to prevent or reduce the risk of anterior shoulder pain at one year after surgery.

Eligibility

Inclusion Criteria:

* Patients who are at least 18 years old undergoing primary reverse total shoulder arthroplasty
* Operations that occur at Loyola University Medical Center (Maywood, IL), Loyola Ambulatory Surgery Center (Maywood, IL), or Gottlieb Memorial Hospital

Exclusion Criteria:

* Patients younger than 18 years old
* Patients who had prior coracoid transfer procedure
* Patients who are undergoing revision surgery from a prior arthroplasty
* Current pregnancy As per standard protocol with all surgeries, a urine pregnancy test is performed prior to surgery. If positive, the surgery will be cancelled and the patient will be excluded from the research study.

Disease(s) and\or Condition(s)

Reverse Shoulder Arthroplasty

Conjoint Tendon Lengthening

Osteoarthritis of the Shoulder

Primary Purpose

TREATMENT

Intervention/Treatment

- Type: PROCEDURE
- Name: Prophylactic Conjoint Tendon Lengthening
- Description: During a standard reverse shoulder arthroplasty procedure, the conjoint tendon will be incised and lengthened prophylactically
- Arm Group Labels: Treatment
- Type: PROCEDURE
- Name: Standard Reverse Shoulder Arthroplasty
- Description: A standard reverse shoulder arthroplasty procedure will be performed
- Arm Group Labels: Control

Sponsor

Nickolas Garbis