Effect of Combining a Posterosuperior Humeral Notch Filling With a Coracoid Bone Block on the Rate of Return to Sport

N/AActive Not RecruitingNCT07257081

Clinique Saint Jean, France120 enrolled

Overview

The goal of this interventional study is to demonstrate the benefit of combining filling of the posterosuperior notch of the humerus with a coracoid stop on the rate of return to sports at the same level as before at 12 months post-surgery. The level of sport will be categorized as recreational, competitive, or professional. This is a prospective, single-center, comparative study of two parallel randomized groups, using a single-blind design. The patients included will be randomized into two groups with a 1:1 ratio: one group will undergo the filling technique, while the second group will not. The rest of the surgery will be similar. Randomization will be stratified according to initial athletic level.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

120

Conditions

Shoulder Injuries

Interventions

The intervention involves bringing part of the coracoid bone with the tendon attached to it onto the front of the glenoid cavity. The stop is secured with an endobutton. The additional procedure used in this study is filling the posterosuperior notch of the humerus. The filling technique involves placing two anchors, which causes tenodesis of the infraspinatus in the posterosuperior notch of the humerus.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patient affiliated with or entitled to social security coverage * Patient who has received informed consent about the study and signed a consent form * Patient presenting with previous shoulder instability associated with a compromising humeral lesion determined by CT scan measurement Exclusion Criteria: * Patient non-compliant with follow-up over 1 year * Recurrence of a previously operated shoulder * Patient under judicial protection, guardianship, or trusteeship.

Outcomes

Primary Outcomes

Number of Participants returning to sports at the same level after surgery, in each arms, at 12months

Difference between the two arms for returning to sports at the same level as before, categorized into three levels: recreational, competitive, or professional, 12 months after surgery.

Time frame: 12 months