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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
30
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.
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.
Ain Shams University Hospitals
Cairo, Egypt
RECRUITINGamerican 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
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
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