Active — Not RecruitingPhase 1

Partial Rotator Cuff Injury Combined With Stiff Shoulder

China80 participantsStarted 2025-06-01

Plain-language summary

A Randomized Controlled Trial Comparing Early Surgical Intervention Versus a Structured Rehabilitation Program with Delayed Surgery if Needed for Partial-Thickness Rotator Cuff Tears with Concomitant Shoulder Stiffness: The SPIRIT Trial (Surgery for Partial Tears with Immobility Randomized Intervention Trial)

Who can participate

Age range18 Years – 80 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria

✓. Age 18-80 years.
✓. Symptomatic shoulder pain for \>2 weeks.
✓. MRI-confirmed partial-thickness rotator cuff tear (\>50% tendon thickness or \>5mm in length).
✓. Concomitant shoulder stiffness, defined as passive range of motion loss of ≥25% in at least two planes (forward flexion, abduction, external rotation, or internal rotation) compared to the contralateral side.
✓. Failure of a brief (≥2 weeks) trial of conservative care (e.g., oral NSAIDs).

Exclusion criteria

✕. Age\< 18 or \>80 years.
✕. Full-thickness rotator cuff tear.
✕. Previous surgery on the affected shoulder.
✕. Glenohumeral osteoarthritis (Grade ≥2 Samilson-Prieto).
✕. Cervical radiculopathy as a primary cause of symptoms.
✕. Systemic inflammatory arthritis.
✕. Neurologic disorder affecting the shoulder.
✕. Contraindications to surgery or general anesthesia.

What they're measuring

Shoulder Pain and Disability Index （SPADI）

Timeframe: 6 month before surgery and 6 months after surgery

Trial details

NCT IDNCT07192302

SponsorHebei Medical University Third Hospital

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-12

View on ClinicalTrials.gov More Rotator Cuff Tears of the Shoulder trials