RecruitingNot ApplicableNCT07604714

Reverse Total Shoulder Arthroplasty With or Without Partial Coracoidectomy: Evaluation of Functional Internal Rotation

Reverse Total Shoulder Arthroplasty With or Without Partial Coracoidectomy: a Randomized Controlled Trial Evaluating Functional Internal Rotation

Sponsor

Clinique Générale dAnnecy

Enrollment

60 participants

Start Date

Jun 1, 2026

Study Type

INTERVENTIONAL

Conditions

Reverse Total Shoulder Arthroplasty

Summary

This project aims to conduct a randomized controlled trial comparing the functional outcomes and complications of standard reverse total shoulder arthroplasty and reverse total shoulder arthroplasty combined with partial coracoidectomy. The study will assess functional internal rotation at 12 months post-surgery, as measured by the ADLIR (Activities of Daily Living requiring Internal Rotation) score.

Eligibility

Min Age: 18 Years

Inclusion Criteria1

\- Adults undergoing reverse total shoulder arthroplasty (rTSA), including primary procedures or fracture repair. Indications may include arthropathy due to a rotator cuff tear, primary glenohumeral osteoarthritis with an irreparable rotator cuff tear, or post-traumatic arthritis.

Exclusion Criteria9

Patients with a history of coracoid fractures or who have previously undergone surgery involving the coracoid process.
Patients undergoing latissimus dorsi transfers
Presence of an active infection, inflammatory arthritis, or a tumor affecting the shoulder region.
Patients with pre-existing neuromuscular disorders affecting shoulder function
Patients who are unwilling or unable to participate in the trial or complete follow-up assessments
Patients deprived of their liberty by judicial or administrative order, in pretrial detention, or under guardianship, conservatorship, or judicial protection.
Pregnant women, women in labor, or breastfeeding women
Patients receiving psychiatric care
Patients not enrolled in a social security program