Status:

NOT_YET_RECRUITING

Multifactorial Approach Training for Anterior Shoulder Instability in Patients Undergoing Arthroscopic Bankart Repair

Lead Sponsor:

Spaarne Gasthuis

Collaborating Sponsors:

OLVG

Ziekenhuis Amstelland

Conditions:

Shoulder Instability

Shoulder Dislocation or Subluxation

Eligibility:

All Genders

18-67 years

Phase:

NA

Brief Summary

This study will compare functional outcomes after an arthroscopic Bankart repair between patients that underwent conventional arthroscopic Bankart repair rehabilitation, following the American Society...

Detailed Description

Background: Fear for (recurrent) dislocation is a frequently reported patient perception regarding the treatment of anterior shoulder instability and is associated with poor outcomes like decrease in ...

Eligibility Criteria

Inclusion

  • Primary or recurrent traumatic anterior shoulder dislocation (MRI-confirmed labral tear)
  • Aged between 18-67 years
  • Planned arthroscopic Bankart repair (ABR) surgery
  • Understanding of spoken and written Dutch language
  • Written informed consent (according to the ICH-GCP guidelines)
  • Positive apprehension sign at physical examination

Exclusion

  • Posterior or multidirectional shoulder instability
  • Presence of hyperlaxity of the upper extremity and absence of sulcus sign and \>85 degrees of external rotation with the arm at the side at physical examination
  • Connective tissue disorders (e.g. Ehlers-Danlos)
  • Aged \<18 or \>67 years
  • Assymetry in rotator cuff strength, bilateral component ((sub)luxations on contralateral side)
  • History of soft tissue repair or bone block procedure on one of both shoulders
  • Current or past anxiety disorders or use of anxiety supressing drugs (e.g. anti-psychotics)
  • Implantable cardioverter defibrillator (ICD) (unable to be included for functional MRI)
  • Neurological disorders or systemic disease
  • Loss of anteroinferior sclerotic contour of the glenoid on AP view of the shoulder
  • Hill-Sachs lesion visible on external rotation radiographs
  • Greater tubercle fracture

Key Trial Info

Start Date :

January 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2027

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06157229

Start Date

January 1 2024

End Date

June 1 2027

Last Update

December 5 2023

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