CLINICAL TRIAL

Anatomic Glenoid Reconstruction for Shoulder Dislocation

Recruiting · < 65 · All Sexes · Halifax, Canada

The Arthroscopic Treatment of Recurrent Anterior Shoulder Instability

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About the trial for Shoulder Dislocation

Treatment Groups

This trial involves 2 different treatments. Anatomic Glenoid Reconstruction is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Anatomic Glenoid Reconstruction
PROCEDURE
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.
Arthroscopic bankart Repair
PROCEDURE

Eligibility

This trial is for patients born any sex aged 65 and younger. You must have received 1 prior treatment for Shoulder Dislocation. There is one eligibility criterion to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
2 or more documented incidences of anterior glenohumeral dislocation
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: 2 years
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: 2 years.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Anatomic Glenoid Reconstruction will improve 1 primary outcome and 1 secondary outcome in patients with Shoulder Dislocation. Measurement will happen over the course of 2 years.

Recurrent Instability
2 YEARS
subluxation/dislocation events will be documented at each follow-up evaluation. On the basis of a clinical examination and patient history, the surgeon will diagnose recurrent instability and categorize it as a traumatic or atraumatic subluxation or dislocation.
WOSI Score
2 YEARS
Western Ontario Shoulder Instability (WOSI) is being used as a disease-specific outcome measure.

Who is running the study

Principal Investigator
I. W.
Ivan Wong, MD
Nova Scotia Health Authority

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are the signs of shoulder dislocation?

Shout is the recommended method of reducing shoulder dislocation, while it can be potentially fatal to the patient when used incorrectly in combination with other methods. The shoulder pain and swelling after shoulder dislocation, and in some instances, the complete disappearance of shoulder pain are the most common signs.

Anonymous Patient Answer

What are common treatments for shoulder dislocation?

There are many surgical procedures that may be used to stabilize the shoulder joint and allow healing of the damage caused by dislocation of the shoulder. The choice of appropriate reconstruction depends on the stability of the injured joint after a dislocation. In some cases, a shoulder dislocation may be followed by an additional shoulder joint displacement. Because of this, a second surgery may be required. If it is not possible, or not advisable, to restore the displaced joint to its previous position, then it may be possible to salvage the joint by creating a new joint from prosthesis or allograft bone, or even the use of an osteotome (a drill used to make a hole in the bone).

Anonymous Patient Answer

What is shoulder dislocation?

Shoulder dislocations occur when the shoulder and the upper arm become separated. When a shoulder dislocation occurs, the force that separates the joint may come from the patient or the doctor pushing or pulling. Patients and surgeons should all be ready to intervene when a shoulder dislocation occurs.\n

Anonymous Patient Answer

Can shoulder dislocation be cured?

Contrary to belief, shoulder dislocation cannot be cured but its symptoms can be controlled. A well managed shoulder dislocation will have a good outcome in terms of pain reduction and a good quality lifestyle after several months when the patient is discharged.

Anonymous Patient Answer

What causes shoulder dislocation?

The strongest known risk factor in shoulder dislocation was shoulder trauma (OR 13.2) whereas a previous shoulder dislocation and age in excess of 50 years were related to an increased risk of recurrent dislocation. A previously reported anatomical abnormality of the glenohumeral joint can predispose a patient to dislocation and does not necessarily influence the dislocation itself. However, the presence of a glenohumeral deformity, irrespective of cause, warrants routine radiographic screening of all patients admitted to an Accidental Injury Unit to identify those patients who are most likely to benefit from surgical excision of the capsular attachment or capsulotomy on shoulder dislocation.

Anonymous Patient Answer

How many people get shoulder dislocation a year in the United States?

About 3200 people in the US may have dislocated their shoulders. Dislocation is a rarity procedure and the number of people dislocated per year in the US is very small. These data can be used as a guide to deciding whether to perform a shoulder dislocation procedure.

Anonymous Patient Answer

How does anatomic glenoid reconstruction work?

In a recent study, findings demonstrate biomechanical improvement after glenoid reconstruction with arthroscopic implantation of a porous glenoid. In a recent study, findings of this biomechanical evaluation provide additional evidence for the use of arthroscopic implantation of porous porous-polyethylene implants in the reconstruction of glenoid defects.

Anonymous Patient Answer

What is anatomic glenoid reconstruction?

The glenoid anatomy varies significantly between patients. Reconstruction of the glenoid to its classical anatomic design is difficult to achieve with certainty in the absence of radiographic visualization of the glenoid labrum or intact cartilage. The glenoid socket in patients with glenoid labral tears or cartilage damage is large on average but is narrowed from side to side. Therefore, surgeons use soft tissue, such as deltoid tendon grafts or latissimus dorsi muscle, to reconstruct the glenoid.

Anonymous Patient Answer

Does shoulder dislocation run in families?

Data from a recent study suggests that certain hereditary factors are involved with shoulder dislocation. It would be interesting to study the familial aggregation of shoulder dislocations in order to evaluate environmental factors that may be related to the occurrence of shoulder dislocations. Further studies are needed to determine how inherited factors influence the occurrence of shoulder dislocations.

Anonymous Patient Answer

What are the common side effects of anatomic glenoid reconstruction?

Most side effects are self-limited and resolve in a short period of time. Complications, such as infection, may require additional interventions and consequently lengthen recovery periods.

Anonymous Patient Answer

Who should consider clinical trials for shoulder dislocation?

Clinical trial enrollment rates for shoulder dislocation are low. In a recent study, findings, 1% of patients eligible for enrollment, and 2% of patients who met enrollment eligibility criteria, experienced shoulder dislocation. Only 4% of patients who met enrollment eligibility criteria reported that shoulder dislocation had been the primary reason for being enrolled in clinical trials that targeted shoulder dislocation. Additional studies are needed to determine whether clinical trials are available in shoulder dislocations.

Anonymous Patient Answer

What is the primary cause of shoulder dislocation?

[There are indications that a combination of factors is involved in shoulder dislocations; however, the exact mechanism responsible for dislocation is not completely understood.]\nyou will need to discuss the cause of your shoulder dislocation with your health care provider.\n[You may also want to take this opportunity to ask questions about how your pain and stiffness are changing for you. You may be planning a trip or event soon, so your hips are particularly vulnerable to dislocation.

Anonymous Patient Answer
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