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CompletedNCT00762580MOONUpdated Jan 16, 2024

Features to Predict Success With Nonoperative Treatment of Patients With Rotator Cuff Tears

An observational study in Rotator Cuff Tear, sponsored by Vanderbilt University. Completed at 9 sites in United States. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-16.

Sponsored by Vanderbilt University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
452
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The goal of this study is to find which patients will improve with the nonsurgical treatment of physical therapy for the treatment of rotator cuff tears.

Read the detailed description

Rotator cuff tears are found in up to 40% of people over the age of 50 with the prevalence increasing with age. While most people remain asymptomatic, it is unknown why some develop symptoms. In symptomatic patients, surgical repair of a torn rotator cuff fails in 30-50% of patients, yet the majority of patients have a significant reduction pain despite failure of the repair. Nonoperative treatment has reported successful outcomes in 25-82% of patients yet it is not known which patient-related features predict success with nonoperative treatment. The general aim of this research effort is to identify patient features (historical information, physical examination findings, and MRI-based pathology) that would predict success (defined by reduction in visual analog pain scale, and patient satisfaction) with the nonoperative treatment of rotator cuff tears. The proposed study design is a prospective cohort study of patients with rotator cuff tears who will follow a standard physical therapy program derived from an evidence based medicine (EBM) systematic review of Level 1 and Level 2 studies.

Study the effect of historical information on predicting success (as determined by pain relief and patient satisfaction) of nonoperative treatment using the EBM based physical therapy program in treating patients with rotator cuff tears.

Study the effect of physical examination findings on predicting success of a nonoperative treatment using the EBM-based physical therapy program in treating patients with rotator cuff tears.

Study the effect of the severity of the rotator cuff pathology (using standardized magnetic resonance imaging protocols) on predicting success of nonoperative treatment for patients with rotator cuff tears using the EBM-based physical therapy program.

02

Conditions studied

  • Rotator Cuff Tear

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Keywords

  • rotator cuff
  • rehabilitation
03

In context

Rotator Cuff Injuries

734 studies on the registry are indexed under Rotator Cuff Injuries; 161 are open to participants now.

This study's enrollment of 452 is above the median of 67 across 162 observational studies indexed under Rotator Cuff Injuries.

Browse Rotator Cuff Injuries studies →

Lead sponsor

Vanderbilt University is the lead sponsor of 508 studies on the registry; 19 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 5 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Adults between the ages of 18-100 with full thickness rotator cuff tears.

Inclusion criteria

  • Patients (18-100 years of age) with MRI findings of a full-thickness rotator cuff tear

Note: Criteria to obtain a shoulder MRI to evaluate for rotator cuff tear [Appendix D]:

  1. Significant weakness (≥ 2 points per guidelines above.)
  2. ADL pain or night pain >/= 7 on VAS
  3. Significant impingement (per guidelines above) + with significant symptoms for ≥ 3 months.

Exclusion criteria

Exclusion Criteria:

  • Acute rotator cuff tears (generally due to a high velocity injury and symptoms of less than one month)
  • Associated dislocations
  • Associated fractures
  • Systemic Rheumatologic disease, i.e. Rheumatoid Arthritis and Systemic Lupus Erythematosis
  • Patients being treated for bilateral rotator cuff tears simultaneously
  • Patients unable to complete the forms
  • Pain from neck or scapula
  • Previous shoulder surgery
  • Glenohumeral arthritis (meets ≥ 1 of below criteria)

    • osteophytes >2mm on humeral head or glenoid
    • Joint space narrowing with sclerosis or cyst formation seen on true AP or axillary radiographs;
    • humeral head contacting acromion
  • Adhesive capsulitis
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
452 participants (actual)

Groups and cohorts

  • Prospective

    Patients with full thickness rotator cuff tears being treated with physical therapy

06

What researchers measure

Primary outcomes

  1. Predict successful outcome with an evidence-based, non-operative treatment program by collecting VAS Pain Scale and SANE score.

    Time frame: One year

Secondary outcomes

  1. Predict success of non-operative treatment outcomes with other patient related validated instruments (SF-12, ASES, WORC, Marx Activity Scale)

    Time frame: One Year

07

Study locations

9 sites
  • University of California at San Francisco
    San Francisco, California 94143, United States
  • Colorado University Sports Medicine
    Boulder, Colorado 80304, United States
  • Universtiy Of Iowa
    Iowa City, Iowa 52242-1088, United States
  • Department of Orthopaedic Surgery, Washington Universtiy School of Medicine
    Saint Louis, Missouri 63110, United States
  • Hospital for Special Surgery
    New York, New York 10021, United States
  • Ohio State
    Columbus, Ohio 43221-3502, United States
  • Sports Medicine & Shoulder Surgery, Orthopedic Institute
    Sioux Falls, South Dakota 57117, United States
  • Shoulder and Elbow Institute, Knoxville Orthopaedic Clinic
    Knoxville, Tennessee 37922, United States
  • Vanderbilt Universtiy Medical Center
    Nashville, Tennessee 37232, United States
08

References and documents

Publications

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  • Spangehl MJ, Hawkins RH, McCormack RG, Loomer RL. Arthroscopic versus open acromioplasty: a prospective, randomized, blinded study. J Shoulder Elbow Surg. 2002 Mar-Apr;11(2):101-7. doi: 10.1067/mse.2002.120915. PubMed 11988719 ↗
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  • Thomazeau H, Boukobza E, Morcet N, Chaperon J, Langlais F. Prediction of rotator cuff repair results by magnetic resonance imaging. Clin Orthop Relat Res. 1997 Nov;(344):275-83. PubMed 9372778 ↗
  • Vitale MG, Krant JJ, Gelijns AC, Heitjan DF, Arons RR, Bigliani LU, Flatow EL. Geographic variations in the rates of operative procedures involving the shoulder, including total shoulder replacement, humeral head replacement, and rotator cuff repair. J Bone Joint Surg Am. 1999 Jun;81(6):763-72. doi: 10.2106/00004623-199906000-00003. PubMed 10391541 ↗
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  • Worland RL, Arredondo J, Angles F, Lopez-Jimenez F. Repair of massive rotator cuff tears in patients older than 70 years. J Shoulder Elbow Surg. 1999 Jan-Feb;8(1):26-30. doi: 10.1016/s1058-2746(99)90050-2. PubMed 10077792 ↗
  • Worland RL, Lee D, Orozco CG, SozaRex F, Keenan J. Correlation of age, acromial morphology, and rotator cuff tear pathology diagnosed by ultrasound in asymptomatic patients. J South Orthop Assoc. 2003 Spring;12(1):23-6. PubMed 12735621 ↗
  • Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA, Middleton WD. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg. 2001 May-Jun;10(3):199-203. doi: 10.1067/mse.2001.113086. PubMed 11408898 ↗
  • Zanetti M, Jost B, Hodler J, Gerber C. MR imaging after rotator cuff repair: full-thickness defects and bursitis-like subacromial abnormalities in asymptomatic subjects. Skeletal Radiol. 2000 Jun;29(6):314-9. doi: 10.1007/s002560000203. PubMed 10929412 ↗
  • Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy. 1993;9(2):195-200. doi: 10.1016/s0749-8063(05)80374-3. PubMed 8461081 ↗
  • Goutallier D, Postel JM, Gleyze P, Leguilloux P, Van Driessche S. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg. 2003 Nov-Dec;12(6):550-4. doi: 10.1016/s1058-2746(03)00211-8. PubMed 14671517 ↗
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  • Jost B, Pfirrmann CW, Gerber C, Switzerland Z. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000 Mar;82(3):304-14. doi: 10.2106/00004623-200003000-00002. PubMed 10724223 ↗
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Individual participant data

Plan to share: Yes — De Identified data from this cohort is only available to members of the MOON Shoulder Consortium. The member must provide a description of the use of the data to the research coordinator. The data request is then presented to the MOON consortium. A unanimous agreement of the plan by the consortium must be received prior to receiving the data.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00762580
Lead sponsor
Vanderbilt University
Collaborators
University of Colorado, Denver, Ohio State University, University of Iowa, University of California, San Francisco, Arthrex, Inc., Knoxville Orthopedic Clinic, Washington University School of Medicine, Sports Medicine and Shoulder Surgery Orthopedic Institute, Hospital for Special Surgery, New York
Responsible party
Rosemary A. Sanders (Research Coordinator, Vanderbilt University) — Principal investigator
First posted
Sep 30, 2008
Start date
Jan 2006
Primary completion
Jan 11, 2024
Completion
Jan 11, 2024
Last update
Jan 16, 2024

Study contacts

John E. Kuhn, MD
principal investigator · Vanderbilt University Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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