Surgery or exercise? landmark trial tests best treatment for Worn-Out shoulders

NCT ID NCT04864158

First seen Jul 02, 2026 · Last updated Jul 02, 2026

Summary

This trial compares two approaches for people with rotator cuff arthropathy, a condition where the shoulder joint wears down due to a torn rotator cuff. One group receives reverse total shoulder replacement surgery followed by standard rehab, while the other group completes a 12-week supervised exercise program. The study aims to see if surgery leads to better pain relief and function than exercise alone. Participants are between 60 and 85 years old and are eligible for shoulder replacement.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Reverse total shoulder arthroplasty and a 12-week exercise program

What this could lead to

If surgery proves superior, it could confirm reverse shoulder replacement as the best option for severe rotator cuff arthropathy. If exercise works as well, it may offer a non-surgical alternative.

What could go wrong

This is a relatively small trial (102 participants) and results may not apply to all patients. Surgery carries risks like infection or implant failure, while exercise may not provide enough relief for severe cases.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

arthropathy rotator cuff syndrome Rotator Cuff Tear Arthropathy

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

More trials for these conditions

Other studies related to the condition(s) this trial covers.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Aalborg University Hospital

    RECRUITING

    Farsø, 9640, Denmark

    Contact

  • Aarhus University Hospital

    RECRUITING

    Aarhus N, Denmark

    Contact Email: •••••@•••••

    Contact Email: •••••@•••••

    Contact

  • Esbjerg Hospital

    RECRUITING

    Esbjerg, 6700, Denmark

    Contact

  • Oslo University Hospital

    RECRUITING

    Oslo, 4956, Norway

    Contact

  • Silkeborg Regional Hospital

    RECRUITING

    Silkeborg, 8600, Denmark

    Contact

    Contact

  • Tampere University Hospital

    RECRUITING

    Tampere, 33521, Finland

    Contact Email: •••••@•••••

  • Tartu University Hospital

    RECRUITING

    Tartu, Estonia

    Contact

  • Viborg Regional Hospital

    RECRUITING

    Viborg, 8800, Denmark

    Contact

    Contact