Operative or Conservative Treatment for Subacromial Impingment Syndrome? - Full Text View

Sponsored by:	Helsinki University
Information provided by:	Helsinki University
ClinicalTrials.gov Identifier:	NCT00428870

Purpose

Shoulder impingement syndrome is common and number of operations done per year is growing. The aim of this study is to compare the value of arthroscopic subacromial decompression (acromioplasty group) vs. diagnostic arthroscopy (control group) vs. supervised exercise therapy (conservative group) on subjects with chronic subacromial impingement syndrome. The results of treatment are measured at 3 months, 6 months, 12 months and 24 months. Main outcome measures are Pain at rest and activity (VASs), functional assessment of the shoulder with Constant score and Simple Shoulder test (SST), global assessment of change , quality of life assessment (SF-36 and 15D) and costs.

Condition	Intervention	Phase
Subacromial Impingement Syndrome	Procedure: Arthroscopy or arthroscopic acromioplasty	Phase II

MedlinePlus related topics: Exercise and Physical Fitness Shoulder Injuries and Disorders

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Single Blind, Placebo Control, Parallel Assignment, Efficacy Study
Official Title:	Arthroscopic Decompression Versus Diagnostic Arthroscopy Without Subacromial Decompression Versus Supervised Exercise Therapy in Treatment of Subacromial Impingement Syndrome. A Blinded Randomized Controlled Trail.

Further study details as provided by Helsinki University:

Primary Outcome Measures:

Pain at rest and activity assessed with 10-cm visual analog scales (VASs).

Secondary Outcome Measures:

Functional assessment of the shoulder with Constant score and Simple Shoulder test,
global assessment of change,
quality of life assessment (SF-36 and 15D),
Costs

Estimated Enrollment:	210
Study Start Date:	October 2005
Estimated Study Completion Date:	December 2009

Show Detailed Description

Eligibility

Ages Eligible for Study:	35 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

In the first phase orthopaedists select consecutive female or male patients who are admitted to the hospital policlinic of Helsinki University Hospital, (either Töölö Hospital or Jorvi Hospital) or District Hospital of Tampere (Hatanpää Hospital) and fulfil the following inclusion criteria:

Subjects are 35 to 65 years of age female or male and have a characteristic history and symptoms of subacromial impingement syndrome at least 3 months.
Symptoms have no relieved with appropriate conservative treatment (i.e. physiotherapy, NSAIDs and subacromial corticosteroid injection).
They have clinical findings of impingement syndrome; painful arc sign and pain in shoulder abduction, positive findings in two of three isometric shoulder abduction tests (0 degree, 30 degree and external rotation), and positive subacromial injection test.

Exclusion Criteria:

Previous surgery of affected shoulder
Symptomatic osteoarthrosis of acromio-clavicular joint
Full thickness rotator cuff tear based on clinical findings and MRI
Long-term cervical syndrome
Instability of shoulder
Reluctance to participate in any study groups (i.e. any treatment options of the study)
Reduced co-operation (drug or alcohol abuse, mental illness)

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00428870

Contacts

Contact: Mika Paavola, MD, PhD

+358-50-4272481

mika.paavola@hus.fi

Locations

Finland, HUS
Helsinki University Hospital, Töölö Hospital	Recruiting
Helsinki, HUS, Finland, FIN-00029
Contact: Jarkko Pajarinen, MD, PhD +358-50-4271930 jarkko.pajarinen@hus.fi

Sponsors and Collaborators

Helsinki University

Investigators

Principal Investigator:	Mika Paavola, MD, PhD	1.1.2003
Study Chair:	Teppo Jarvinen, MD, PhD	1.1.2004
Study Chair:	Antti Malmivaara, MD, PhD	1.8.2004
Study Chair:	Pekka Paavolainen, Professor	1.1.2003
Study Chair:	Timo Järvelä, MD, PhD	1.1.2004
Study Chair:	Simo Taimela, MD, PhD	1.6.2004
Study Chair:	Harri Sintonen, Professor	1.8.2004
Study Director:	Markku Järvinen, Professor	1.1.2004

More Information

Study ID Numbers:	R04200
Study First Received:	January 29, 2007
Last Updated:	January 31, 2007
ClinicalTrials.gov Identifier:	NCT00428870
Health Authority:	Finland: Helsinki University Hospital; Finland: Tampere University Hospital

Keywords provided by Helsinki University:

Shoulder
impingement
concervative
acromioplasty
arthroscopy

Study placed in the following topic categories:

Musculoskeletal Diseases
Joint Diseases
Shoulder Impingement Syndrome

Additional relevant MeSH terms:

Pathologic Processes
Disease
Syndrome

ClinicalTrials.gov processed this record on January 16, 2009