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CompletedNCT06059625Updated Jun 18, 2024

RECURRENCE OF ROTATOR CUFF LESION AFTER SURGICAL REPAIR WITH SINGLE-ROW vs DOUBLE-ROW SUTURE BRIDGE TECNIQUE: A COMPARATIVE STUDY

An interventional study of rotatori cuff repair in Cuff Injury, Rotator, sponsored by Istituto Ortopedico Rizzoli. Completed at 1 site in Italy. Open to participants aged 45 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-06-18.

Sponsored by Istituto Ortopedico Rizzoli · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 2 years 5 months after the study started (first participant enrolled Apr 2021, registered Sep 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Non-randomized
Ages
45 Years to 75 Years
Sex
All
01

Study summary

The rotator cuff is a muscle-tendon complex consisting of the tendons of the supraspinatus, subspinatus, subscapularis, and small round muscles capable of allowing movement of the shoulder joint in the various planes of space and stabilizing the glenohumeral joint.

Rotator cuff tendon injuries are very common. In most cases, these injuries are mostly degenerative based, as they are related to the aging process of the individual. However, it is increasingly common to diagnose such injuries in young individuals as well.

The reported incidence of rotator cuff injuries ranges from 5% to 40%, and of course the prevalence increases with age until it reaches 51% in patients older than 80 years.

The diagnosis of rotator cuff injury is made based on clinical examination and instrumental investigations such as Nuclear Magnetic Resonance Imaging (MRI).

Rotator cuff repair involves the use of anchors with included suture threads that allow the tendons to be returned to the level of the anatomical insertion, called the footprint.

Suture technique varies depending on the extent of injury and tendon and bone quality.

Single-row (single row) or double-row suture bridge (double-row suture bridge) anchoring techniques are currently a hotly debated topic in the literature.

02

Conditions studied

  • Cuff Injury, Rotator
03

In context

Recurrence

4,279 studies on the registry are indexed under Recurrence; 988 are open to participants now.

This study's enrollment of 30 is below the median of 50 across 3,374 interventional studies indexed under Recurrence.

Browse Recurrence studies →

Lead sponsor

Istituto Ortopedico Rizzoli is the lead sponsor of 298 studies on the registry; 102 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients aged ≥45 years with a diagnosis of full-thickness rotator cuff injury \<2cm
  • Arthroscopic rotator cuff repair surgery with single row or double row suture bridge
  • Follow-up > 24 months
  • Completeness of clinical-radiographic documentation
  • Patients at first rotator cuff repair surgery on affected side

Exclusion criteria

Exclusion Criteria:

  • Patients with associated injuries to the affected upper limb
  • Patients with neuromuscular disorders, or established psychomotor disorders
  • Patients with associated injuries of the subscapularis muscle tendon
  • Patients with a history of previous surgery of the affected shoulder
  • Patients with massive rotator cuff injury > 2cm
  • Patients with severe pathologies of other organs or apparatuses that limit competitive or recreational sports activities
  • Pregnant women
  • Patients who cannot undergo high-field MRI (pcs with cochlear implants, cardiac, vascular or osteoarticular magnetic, pcs with previous gunshot wounds)
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    DOUBLE-ROW

    rotatori cuff repair with double-row suture bridge technique

    Procedure: rotatori cuff repair

  • Active comparator
    SINGLE-ROW

    rotatori cuff repair with single-row technique

    Procedure: rotatori cuff repair

Interventions

  • Procedurerotatori cuff repair

    rotatori cuff repair

06

What researchers measure

Primary outcomes

  1. radiological outcome (Sugaya score)

    The Sugaya classification is used to evaluate rotator cuff repair, assessing post-operative rotator cuff repair on oblique coronal, oblique sagittal and transverse MRI planes. Scores range from 0 to 5 with a score of 0 indicating better tendon quality and no lesion and 5 indicating worse tendon quality with complete lesion.

    Time frame: 24 months

  2. clinical outcome (American Shoulder and Elbow Surgeons shoulder score)

    ASES score is designed to assess the condition of the shoulder, regardless of disease pathology, requiring both a physician assessment and a patient-completed portion. Scores range from 0 to 100 with a score of 0 indicating a worse shoulder condition and 100 indicating a better shoulder condition.

    Time frame: 24 months

  3. clinical outcome (University of California and Los Angeles shoulder score)

    UCLA shoulder score is a jointly completed score, with both physician and patient completed portions. Scores range from 0 to 35 with a score of 0 indicating worse shoulder function and 35 indicating better shoulder function.

    Time frame: 24 months

  4. clinical outcome (Costant-Murley score)

    The Costant-Murley score is designed to assess the functional state of a normal, a diseased, or a treated shoulder. It contains both physician-completed and patient-reported portions. Scores range from 0 points (most disability) to 100 points (least disability).

    Time frame: 24 months

  5. clinical outcome (Range Of Motion)

    ROM expresses in degrees the degree of range of motion that a joint can perform along its full range of motion whether active or passive through an external aid.

    Time frame: 24 months

07

Study locations

1 site
  • IRCCS Istituto Ortopedico Rizzoli
    Bologna, 40136, Italy
08

References and documents

Publications

  • Khoriati AA, Antonios T, Gulihar A, Singh B. Single Vs Double row repair in rotator cuff tears - A review and analysis of current evidence. J Clin Orthop Trauma. 2019 Mar-Apr;10(2):236-240. doi: 10.1016/j.jcot.2019.01.027. Epub 2019 Jan 30. No abstract available. Erratum In: J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1169-1171. doi: 10.1016/j.jcot.2020.09.032. J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1177. doi: 10.1016/j.jcot.2020.10.025. J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1172-1174. doi: 10.1016/j.jcot.2020.10.044. J Clin Orthop Trauma. 2021 Aug 05;21:101557. doi: 10.1016/j.jcot.2021.101557. PubMed 30828184 ↗
  • Padua R, Padua L, Ceccarelli E, Bondi R, Alviti F, Castagna A. Italian version of ASES questionnaire for shoulder assessment: cross-cultural adaptation and validation. Musculoskelet Surg. 2010 May;94 Suppl 1:S85-90. doi: 10.1007/s12306-010-0064-9. PubMed 20383686 ↗
  • Sugaya H, Maeda K, Matsuki K, Moriishi J. Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: single-row versus dual-row fixation. Arthroscopy. 2005 Nov;21(11):1307-16. doi: 10.1016/j.arthro.2005.08.011. PubMed 16325080 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06059625
Lead sponsor
Istituto Ortopedico Rizzoli
Responsible party
Sponsor
First posted
Sep 28, 2023
Start date
Apr 14, 2021
Primary completion
May 31, 2024
Completion
May 31, 2024
Last update
Jun 18, 2024

Oversight

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

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