Tight Control for Rotator Cuff Tendinopathy
Efficacy of Tight Treatment in Rotator Cuff Tendinopathy Rotator Cuff Tendinopathy: a Randomized Controlled Trial Versus Standard Standard Management
Nantes University Hospital
156 participants
Nov 25, 2024
INTERVENTIONAL
Conditions
Summary
The main objective of the study is to determine whether tight management of patients in early rotator cuff tendinopathy would lead to better clinical improvement than standard management. In a randomized study, we propose to compare two types of management, with a tight control group having one consultation per month for the first 3 months, in order to readapt or intensify management, whereas the control group will only be seen at 3 months after inclusion. We hypothesize that this close follow-up will lead to more rapid clinical improvement and reduce the transition to chronicity and the associated costs (inclusion of a medico-economic analysis taking into account, in particular, healthcare consumption and time off work).
Eligibility
Inclusion Criteria4
- Patient with new-onset shoulder pain related to rotator cuff tendinopathy
- Age between 18 and 65
- Shoulder pain on activity for less than 6 months with VAS≥4/10 and/or OSS≥20
- Pain compatible with rotator cuff tendinopathy according to the rotator cuff tendinopathy according to the BESS (British Elbow and Shoulder Society) guidelines
Exclusion Criteria9
- Contraindication to steroid injections
- Shoulder pain related to trauma (dislocation, fracture) or acute tendon rupture requiring short-term surgery
- Steroid injection already performed on the shoulder studied for the current episode
- Neurological pathology affecting the shoulder
- Other shoulder disorders (inflammatory arthritis, frozen shoulder, glenohumeral joint instability, pain associated with acromioclavicular arthropathy)
- Tendon calcification > 0.5 cm.
- Previous shoulder surgery
- Full-thickness tear of one tendon
- Pregnant women
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Interventions
Patients will be seen every month for the first 3 months of follow-up During these consultations, shoulder pain and function will be assessed. Treatment adjustments (steroid injections, drugs and physiotherapy) will be proposed in line with predefined objectives.
Patients are monitored according to standard practice
Locations(8)
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NCT06517680