Shoulder surgery debate: to repair or not to repair the rotator cuff?
NCT ID NCT05344898
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This study compares two approaches during reverse shoulder replacement: repairing the subscapularis tendon (part of the rotator cuff) or leaving it unrepaired. The goal is to see which method leads to better shoulder function, strength, and lower risk of dislocation. Adults aged 18 to 95 undergoing reverse shoulder replacement are eligible. Participants are randomly assigned to one of the two procedures and followed for two years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Subscapularis tendon repair procedure
- What this could lead to
- If repairing the tendon proves better, it could reduce the risk of shoulder dislocation and improve internal rotation strength after reverse shoulder replacement.
- What could go wrong
- This is a mid-sized trial with 118 participants, and results may not apply to all patients. The repair might not improve outcomes or could even limit range of motion.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 118 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2022
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 95 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. 18 to 95 years old 2. Undergoing reverse shoulder arthroplasty for any indication including revision surgery Exclusion Criteria: 1. Irreparable Subscapularis Tendon a. Reparability of Subscapularis will be determined based on MRI or CT scan obtained preoperatively and confirmed intraoperatively. Tendons must be intact with less than Grade I or II Fatty Infiltration as determined by the Goutallier classification. 2. Any history of proximal humerus fracture 3. Any revision with proximal humerus bone loss
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University of Maryland School of Medicine
RECRUITINGBaltimore, Maryland, 21201, United States
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