Recruiting

Pectoralis Minor Release vs. Non-releasePectoralis Minor Release Versus Non-release in RSA

Sponsor:

Emory University

Code:

NCT06292169

Conditions

Reverse Total Shoulder Arthroplasty

Rotator Cuff Tear Arthropathy

Advanced Glenohumeral Osteoarthritis

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Pectoralis Minor Release

RSA

Study Details

Brief summary:

The goal of this clinical trial is to assess if concomitant open pectoralis minor release would improve pain and outcomes after Reverse Shoulder Arthroplasty (RSA). The main questions it aims to answer are:

whether releasing the pectoralis minor prophylactically could have better pain relief
whether releasing the pectoralis minor prophylactically could have increased Range of motion (ROM) outcomes
whether releasing the pectoralis minor prophylactically could have higher final Patient Reported Outcome Measurements (PROMs) Participants will be randomized to either undergo RSA with pectoralis minor release or RSA without pectoralis minor release.

Conditions

Reverse Total Shoulder Arthroplasty

Rotator Cuff Tear Arthropathy

Advanced Glenohumeral Osteoarthritis

Study ID

NCT06292169

Start date

Aug 7, 2024

Status verified date

Oct, 2025

Completion date

Jan, 2026

Anticipated

Primary completion date

Jan, 2026

Anticipated

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

All patients undergoing surgery for reverse total shoulder arthroplasty
Patients willing and able to provide informed consent

Exclusion Criteria:

Revision arthroplasty
Reverse shoulder arthroplasty for proximal humerus fractures
Adults unable to consent
Individuals who are not yet adults (infants, children, teenagers)
Pregnant women
Prisoners

Study Design

Enrollment

90 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: RSA with pectoralis minor release

active comparator: RSA without pectoralis minor release

Interventions

Pectoralis Minor Release

The pectoralis minor is a muscle on the anterior chest wall attaching to the coracoid process. In the group undergoing pectoralis minor release, through the same deltopectoral incision that will not be extended or different as compared to the RSA only group, the pec minor will be exposed on the medial aspect of the coracoid at the upper part of the incision. It will be cut from its insertion on the coracoid while being careful to protect any neurovascular structures.

RSA

RSA is the current Standard of Care (SOC)

Primary outcome measure

Visual analog Scale (VAS) pain scores [ Time Frame: Baseline, 6 months ]

Central Contacts and Locations

Central contacts

Eric Wagner, MD

404-778-7249 eric.r.wagner@emory.edu

Musab Gulzar

201-344-0298 mgulzar@emory.edu

Locations

Emory Clinic

Recruiting

Atlanta, Georgia, United States, 30322

Contacts

Eric Wagner, MD

404-778-7249 eric.r.wagner@emory.edu

Musab Gulzar

201-344-0298 mgulzar@emory.edu

Emory Healthcare Orthopaedics and Spine Center

Recruiting

Atlanta, Georgia, United States, 30329

Contacts

Eric Wagner, MD

404-778-7249 Eric.r.wagner@emory.edu

Musab Gulzar

201-344-0298 mgulzar@emory.edu

More Information

Sponsor

Emory University

Last update posted

Oct 23, 2025

Last verified

Oct, 2025

Keywords

Reverse Total Shoulder Arthroplasty
Reverse Shoulder Arthroplasty
American Shoulder and Elbow
Range of motion
Pectoralis Minor

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Emory University on 2025-10-23.