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The purpose of this study is to compare functional outcomes of Skillful Neglect & arthroscopic repair of upper border subscapularis tear in La fosse type 1 and type 2 with biceps tenotomy in non-athletes,30 shoulders subdivided randomly into 2 groups, 15 patients in group 1 (patient treated by skillful neglect with biceps tenotomy) and 15 patients in group 2 (patients treated by arthroscopic repair with biceps tenotomy)
patients are randomized chosen then a shoulder arthroscope is done for all patients with biceps tenotomy but in group1 the investigators are neglecting the upper border tears and in group 2 the investigators are repairing upper border tears with anchors then after the procedure is completed the investigators will follow up by ASES score
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group 1 (patient treated by skillful neglect with biceps tenotomy) | Active Comparator | neglect of upper border subscapularis tear and doing biceps tenotomy |
|
| group 2 (patient treated by arthroscopic repair with biceps tenotomy) | Active Comparator | repair of upper border subscapularis tear and doing biceps tenotomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy . | Procedure | The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear conservative treatment which is considered the standard technique.
|
| Measure | Description | Time Frame |
|---|---|---|
| american shoulder elbow score | scale that evaluates two dimensions of shoulder function: pain and performance in activities of daily living. Each of the two domains make up for 50 of the 100 points. | after 6months and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue score | subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain." | Post operative 6months and 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed As Abdallah | Contact | 00201022677132 | mohamedkhamis657@gmail.com | |
| Yahia Mo Haroun | Contact | 00201006124615 |
| Name | Affiliation | Role |
|---|---|---|
| mohamed as abdallah, master | Ain Shams University | Principal Investigator |
| Amr Mo Abdelhady | Ain Shams University | Study Chair |
| Maged Mo Samy |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University Hospitals | Recruiting | Cairo | Egypt |
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|
| arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy . | Procedure | The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear repair which is considered the standard technique.
|
|
| Ain Shams University |
| Study Director |
| Mohamed Ha Sobhy | Ain Shams University | Study Director |
| Yahia Mo Haroun | Ain Shams University | Study Director |
| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| ID | Term |
|---|---|
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
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