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RecruitingNCT05960812Updated Sep 22, 2023

Skillful Neglect Vs Repair For Subscapularis Tear Associated With Posterosuperior Cuff Tears Repair.

An interventional study of skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy . and arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy . in Subscapularis Muscle Strain, sponsored by Mohamed Ashraf Abdallah. Recruiting at 1 site in Egypt. Open to participants aged 40 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-09-22.

Sponsored by Mohamed Ashraf Abdallah · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2024, 2 years ago, but the record still lists the study as recruiting.
  • Registered 7 months after the study started (first participant enrolled Sep 2022, registered May 2023).
  • Started Sep 2022; still recruiting 4 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
40 Years to 70 Years
Sex
All
01

Study summary

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)

Read the detailed description

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

02

Conditions studied

  • Subscapularis Muscle Strain

Keywords

  • Rotator cuff tear
03

In context

Lead sponsor

This is the only study on the registry with Mohamed Ashraf Abdallah as lead sponsor.

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

04

Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with combined upper subscapularis border tear in Lafosse type 1 and type 2.

Exclusion criteria

Exclusion Criteria:

  • Glenohumeral arthritis.
  • Patients with other intra-articular pathology like SLAP lesions.
  • Neural damage (Brachial plexus injury).
  • Revision cases.
  • Patient with subscapularis border tear type 3, type 4, and type 5.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    group 1 (patient treated by skillful neglect with biceps tenotomy)

    neglect of upper border subscapularis tear and doing biceps tenotomy

    Procedure: skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy . · Procedure: arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

  • Active comparator
    group 2 (patient treated by arthroscopic repair with biceps tenotomy)

    repair of upper border subscapularis tear and doing biceps tenotomy

    Procedure: skillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy . · Procedure: arthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

Interventions

  • Procedureskillful neglect Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

    The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear conservative treatment which is considered the standard technique. * Semisetting position under GA. * Standard shoulder arthroscopy with standard portals for RC repair. * Inspection of articular surface of rotator cuff and biceps tendon. * Bursectomy, visualization of all rotators. * Mobilization is done for associated rotator tears by shaver and radiofrequency device. * Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear. * Skillful neglect to the tear. * Rotator repair technique by RC anchors * Biceps Tenotomy will be done in all cases by cutting of LHBT.

  • Procedurearthroscopic repair Of upper subscapularis tear in Lafosse type 1 and type 2 with long head biceps tenotomy .

    The following technique will be utilized for confirm isolated or combined upper subscapularis border partial tear repair which is considered the standard technique. * Semisetting position under GA. * Standard shoulder arthroscopy with standard portals for RC repair. * Inspection of articular surface of rotator cuff and biceps tendon. * Bursectomy, visualization of all rotators. * Mobilization is done for associated rotator tears by shaver and radiofrequency device. * Both preoperative Statistics randomization that is used to determine which case will be repaired and intraoperative loss of tension of the elongated aspect of the tendon are used to confirm diagnosis and treatment of upper subscapularis border tear. * Skillful neglect to the tear. * Rotator repair technique by RC anchors * Biceps Tenotomy will be done in all cases by cutting of LHBT.

06

What researchers measure

Primary outcomes

  1. 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.

    Time frame: after 6months and 12 months

Secondary outcomes

  1. 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."

    Time frame: Post operative 6months and 12 months

07

Study locations

1 of 1 sites recruiting
  • Ain Shams University Hospitals
    Cairo, Egypt
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05960812
Lead sponsor
Mohamed Ashraf Abdallah
Responsible party
Mohamed Ashraf Abdallah (Principal investigator, Ain Shams University) — Sponsor-investigator
First posted
Jul 27, 2023
Start date
Sep 30, 2022
Primary completion
Sep 26, 2024 (estimated)
Completion
Sep 26, 2024 (estimated)
Last update
Sep 22, 2023

Study contacts

Mohamed As Abdallah
Contact
mohamedkhamis657@gmail.com
00201022677132
Yahia Mo Haroun
Contact
00201006124615
mohamed as abdallah, master
principal investigator · Ain Shams University
Amr Mo Abdelhady
study chair · Ain Shams University
Maged Mo Samy
study director · Ain Shams University
Mohamed Ha Sobhy
study director · Ain Shams University
Yahia Mo Haroun
study director · Ain Shams University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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