Prophylactic Conjoint Tendon Lengthening During Reverse Shoulder Arthroplasty Outcomes
Prophylactic Conjoint Tendon Lengthening During Reverse Shoulder Arthroplasty: is There a Difference in Anterior Shoulder Pain At One Year After Surgery?
Nickolas Garbis
110 participants
Mar 1, 2025
INTERVENTIONAL
Conditions
Summary
Some patients may experience persistent pain in the front of their shoulder after reverse shoulder replacement. One of the possible reasons for this is that the surgery causes a change in the alignment of the shoulder joint, which may cause increased tension and compression on one of the biceps tendon called the conjoint tendon. The purpose of this study is to evaluate whether conjoint tendon lengthening, a surgical procedure that involves cutting and lengthening the conjoint tendon in order to reduce tension and compression, is able to prevent or reduce the risk of anterior shoulder pain at one year after surgery.
Eligibility
Inclusion Criteria2
- Patients who are at least 18 years old undergoing primary reverse total shoulder arthroplasty
- Operations that occur at Loyola University Medical Center (Maywood, IL), Loyola Ambulatory Surgery Center (Maywood, IL), or Gottlieb Memorial Hospital
Exclusion Criteria4
- Patients younger than 18 years old
- Patients who had prior coracoid transfer procedure
- Patients who are undergoing revision surgery from a prior arthroplasty
- Current pregnancy As per standard protocol with all surgeries, a urine pregnancy test is performed prior to surgery. If positive, the surgery will be cancelled and the patient will be excluded from the research study.
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Interventions
During a standard reverse shoulder arthroplasty procedure, the conjoint tendon will be incised and lengthened prophylactically
A standard reverse shoulder arthroplasty procedure will be performed
Locations(1)
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NCT06729983