--- title: Shoulder Impingement Syndrome - Treatment of non-traumatic rotator cuff tears. A randomised controlled trial with one-year clinical results. description: Treatment of non-traumatic rotator cuff tears. A randomised controlled trial with one-year clinical results. image: https://hub.david.fi/hubfs/EVID%C3%89NCIA%20CIENT%C3%8DFICA.jpg --- Research - Supporting Studies ## Treatment of non-traumatic rotator cuff tears. A randomised controlled trial with one-year clinical results.    #### Year: 2016  Study type: RCT   Kukkonen J, Joukainen A, Lehtinen J, Mattila K, Tuominen E, Kauko T et al. Treatment of non-traumatic rotator cuff tears. The Bone & Joint Journal 2014;96-B(1):75-81. #### Objective To compare the effectiveness of three different treatment methods in non-traumatic tears of supraspinatus tendon. #### Methods Randomized controlled trial, 180 shoulders (173 patients), > 55 years of age Three treatment groups (60 shoulders in each group): 1. Physiotherapy (six-month intervention) 2. Acromioplasty and physiotherapy 3. Rotator cuff repair, acromioplasty and physiotherapy Primary outcome: Constant score at 3, 6 and 12 months after the intervention. #### Outcome No between-group differences in the total Constant score at 12-month follow-up: 74.1, 77.2 and 77.9 in groups 1, 2 and 3, respectively (p = 0.34). Mean change in the Constant score was 17.0, 17.5, and 19.8, respectively (p = 0.34). Conclusion: In one-year follow-up operative treatment was not better than conservative treatment in non-traumatic supraspinatus tears and hence, conservative treatment should be considered the treatment of choice for non-traumatic rotator cuff tears in elderly patients. [ Link to the study ](https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.96B1.32168) [Validation Studies](https://hub.david.fi/en/scientific-evidence-exercise-therapy?hsLang=en) [Outcome Studies](https://hub.david.fi/en/scientific-evidence-exercise-therapy?hsLang=en) [Internal Analysis](https://hub.david.fi/en/scientific-evidence-exercise-therapy?hsLang=en) -   ![EVE-exercise-screen](https://hub.david.fi/hubfs/social-suggested-images/EVE-exercise-screen.jpg "EVE-exercise-screen")