Long Head of Biceps as an Anterior Dynamic Sling for Recurrent Anterior Shoulder Dislocation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 25
- Locations
- 1
- Primary Endpoint
- rowe score
Study Overview
Brief Summary
Purpose: To evaluate the functional outcomes of arthroscopic onlay dynamic anterior stabilization (DAS) using the long head of biceps (LHB) tendon for treatment of anterior glenohumeral instability (AGI) with limited to subcritical glenoid bone loss (GBL).
Detailed Description
Twenty-five patients underwent arthroscopic DAS using LHB between March 2022 and October 2022 for treatment of anterior glenohumeral instability (AGI) with limited to subcritical glenoid bone loss (GBL) were included in a prospective study with a minimum follow-up period of 2 years. The shoulder functional outcomes were assessed using the Rowe and the Quick Disabilities of Arm, Shoulder and Hand (Quick DASH) scores both preoperative and at 2 years follow-up. Magnetic resonance imaging (MRI) at 6 months after surgery to evaluate LHB tendon healing to the anterior glenoid.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to 32 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •The inclusion criteria were
- •Patients complaining of AGI, with one or more events of anterior shoulder dislocation.
- •Associated limited (<13.5%) to subcritical (<25%) GBL.
- •Positive anterior shoulder apprehension.
Exclusion Criteria
- •Associated critical GBL (≥25%).
- •Concomitant LHB lesion or rupture.
- •Multidirectional or voluntary shoulder instability.
- •Prior arthroscopic shoulder stabilization procedure.
- •Concomitant rotator cuff tears.
- •Acute proximal humerus fractures of the involved shoulder.
Arms & Interventions
arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation
arthroscopic dynamic anterior stabilization using Long head of biceps as for recurrent anterior shoulder dislocation arthroscopic transfer of the Long head of biceps to the anterior glenoid inpatients with recurrent shoulder dislocation
Intervention: arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation (Procedure)
Outcomes
Primary Outcomes
rowe score
Time Frame: baseline, and 2 years postoperative
shoulder score, the maximum is 100, the minimum is zero, the higher score means a better outcome
Quick Disabilities of Arm, Shoulder and Hand
Time Frame: baseline, and 2 years postoperative
shoulder score, the maximum is 100, the minimum is zero, the higher score means a worse outcome
Secondary Outcomes
No secondary outcomes reported
Investigators
Mohamed hussein khalil
principal investigator
Cairo University