Tendon Lengthening for Shoulder Arthritis

This trial explores a new approach to help individuals experiencing pain in the front of their shoulder after reverse shoulder surgery. The researchers aim to determine if prophylactic conjoint tendon lengthening, which involves cutting and lengthening a tendon to reduce tension, can reduce or prevent this pain a year after surgery. Participants will either undergo the usual shoulder surgery or receive this surgery plus the tendon lengthening. Those having their first reverse shoulder surgery at certain hospitals in Illinois might be suitable candidates. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance post-surgical outcomes for future patients.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that lengthening the conjoint tendon can benefit individuals undergoing shoulder surgery. One study found that this procedure can enhance shoulder movement post-surgery, potentially reducing pain (source 3). Another study is examining patient coping mechanisms with the surgery and its effects (source 2).

Researchers are excited about the prophylactic conjoint tendon lengthening treatment for shoulder arthritis because it offers a unique approach by combining tendon lengthening with the standard reverse shoulder arthroplasty. Unlike traditional treatments that focus solely on joint replacement, this method aims to enhance shoulder function and potentially improve long-term outcomes by addressing tendon flexibility. By targeting the tendons, this treatment may provide better joint mobility and reduce post-surgery complications, making it a promising option for patients with shoulder arthritis.

This trial will compare prophylactic conjoint tendon lengthening with standard reverse shoulder arthroplasty. Research has shown that prophylactic conjoint tendon lengthening can reduce shoulder pain after reverse shoulder replacement surgery. Studies have found that this procedure improves shoulder mobility, making arm use easier. This is particularly important for patients experiencing pain at the front of the shoulder due to increased tension on the conjoint tendon. By cutting and lengthening this tendon, the procedure aims to relieve tension and reduce pain. Early evidence suggests that this approach could lead to better pain relief and improved shoulder function.¹²³⁴⁶