Status:
COMPLETED
Electrothermal Arthroscopic Capsulorrhaphy (ETAC) and Open Inferior Capsular Shift in Patients With Shoulder Instability
Lead Sponsor:
University of Calgary
Collaborating Sponsors:
Canadian Institutes of Health Research (CIHR)
The Arthritis Society, Canada
Conditions:
Shoulder Dislocation
Eligibility:
All Genders
14+ years
Phase:
NA
Brief Summary
This trial will compare the effectiveness of electrothermal arthroscopic capsulorrhaphy (ETAC) to the current reference standard procedure, open inferior capsular shift (ICS), for the treatment of sho...
Detailed Description
The shoulder is the most frequently dislocated joint in the body. Multiple causes and pathologies account for the various types of shoulder instability. Multi-directional instability (MDI) and multi-d...
Eligibility Criteria
Inclusion
- Ages 14 years or greater
- Diagnosis of MDI or MDL-AII. Diagnosis will require two or more of the following:
- Symptomatic translation (pain or discomfort) in one or more directions: anterior, inferior and/or posterior;
- Ability to elicit unwanted glenohumeral translations that reliably produce symptoms with one of the following tests: the anterior and posterior apprehension tests, the anterior and posterior load and shift tests, the fulcrum test, the relocation test, the Fukuda test, and/or the push-pull or stress test with the patient supine;
- Presence of a positive sulcus sign of 1 centimetre or greater gap that reproduces the patient's clinical symptoms of instability and should be both palpable and visible;
- Symptoms of instability: subluxation or dislocation.
- Written informed consent
- Failed at least 6 months of non-operative treatment
- Confirmed capsular-ligamentous redundancy as determined by diagnostic arthroscopy examination.
Exclusion
- Neurologic disorder (ie: axillary nerve injury; syringomyelia)
- Cases involving third party compensation
- Patients with primary posterior instability
- A bony abnormality (Hill Sachs/bony Bankart) on standard series of x-rays consisting of a minimum of an anteroposterior view, lateral in the scapular plane and an axillary view
- Presence of a Bankart lesion on arthroscopic exam of the joint
- Presence of an unstable biceps anchor (ie: superior labral anterior and posterior \[SLAP\] lesion) on arthroscopic exam of the joint
- Presence of a full-thickness rotator cuff tear.
Key Trial Info
Start Date :
December 1 1999
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 1 2010
Estimated Enrollment :
58 Patients enrolled
Trial Details
Trial ID
NCT00251160
Start Date
December 1 1999
End Date
February 1 2010
Last Update
July 13 2015
Active Locations (7)
Enter a location and click search to find clinical trials sorted by distance.
1
University of Calgary Sport Medicine Centre
Calgary, Alberta, Canada, T2N 1N4
2
Grey Nuns Community Hospital
Edmonton, Alberta, Canada, T6L 5X8
3
Royal Columbian Hospital
New Westminster, British Columbia, Canada, V3L 3W7
4
Pan Am Medical and Surgical Centre
Winnipeg, Manitoba, Canada, R3M 3E4