Acute Shoulder Stabilisation using Endoscopic Techniques (ASSET) 2
Research type
Research Study
Full title
Acute Shoulder Stabilisation using Endoscopic Techniques (ASSET) 2 Study: Long-Term Follow-up of a Randomised Control Trial
IRAS ID
250895
Contact name
Liam Yapp
Contact email
Sponsor organisation
NHS Lothian
Clinicaltrials.gov Identifier
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Approximately half of patients who experience a dislocation of their shoulder will go on to experience further problems with their shoulder. Some people will suffer persisting instability, and notice an uncomfortable feeling of their shoulder wanting to give way. This can occur commonly during active movements such as playing sports or lifting heavy objects. Some patients experience recurrent dislocations, and find that their shoulder is so weak that it slips out of joint with little provocation. \n\nPrevious research suggested that this high rate of subsequent shoulder problems can be greatly reduced (although not abolished completely) by surgery performed soon after the first dislocation. Ten years ago, there were two different methods which had been popularised:\n\n1.\tArthroscopic Wash-Out: The first is to wash out the shoulder joint with a sterile solution through an arthroscope (key-hole surgery) under a general anaesthetic. \n2.\tArthroscopic Repair: The second is to repair the torn tissues in the shoulder, again using key-hole surgery techniques under general anaesthetic. \n\nA previous clinical trial was undertaken in our unit (2001-2005) which randomised young patients aged under 35 years to one of the two possible treatments (described above). These procedures were not new or experimental. The same Arthroscopic Repair technique continues to be routinely used in NHS Lothian to treat patients who have late problems following a dislocated shoulder. We do not routinely perform wash-outs of the shoulder joint because this is only effective in treating problems that occur at an early stage. \n\nThis new study intends to build on these findings by asking each of the patient groups to complete a short questionnaire which uses validated outcomes to measure their shoulder function. The aim of the study is to identify if there is a long-term clinical and functional benefit of early arthroscopic shoulder stabilisation in high-risk patients.
REC name
North of Scotland Research Ethics Committee 1
REC reference
19/NS/0059
Date of REC Opinion
11 Apr 2019
REC opinion
Favourable Opinion