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Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM)

Not Applicable
Completed
Conditions
Adhesive Capsulitis
Tendinopathy
Shoulder Impingement Syndrome
Hill-Sachs Lesion
Rotator Cuff Tear
Frozen Shoulder
Interventions
Procedure: Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management
Registration Number
NCT05897866
Lead Sponsor
Issa, Abdulhamid Sayed, M.D.
Brief Summary

Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM) is a limited lateral approach to the shoulder arthroscopically guided. Which achieves less surgical trauma and smaller surgical incision than even in Mini Lateral Shoulder Approach (MLSA).

Detailed Description

After making a full clinical, X-rays and MRI examinations of the shoulder, and finding Shoulder Impingement Syndrome, Adhesive Capsulitis, Rotator Cuff Tear, or Hill-Sachs lesion, we decide to manage the problem surgically We can survey the shoulder from the inside and determine the shape, size and the exact position of the defect by shoulder arthroscopy.

The patient is operated on under general anesthesia; shoulder arthroscopy can be performed in the lateral decubitus or beach chair position which is the basic shoulder arthroscopy (Beach Chair Patient Positioning).

After identifying the full characteristics of the lesion, we go for Mini Lateral Shoulder Approach (MLSA), as known as Second Sayed Issa's Approach.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • Patients presented with Shoulder Impingement Syndrome refractory to conservative treatment and local steroid injection
  • Patients presented with Adhesive Capsulitis and Frozen Shoulder Syndrome refractory to conservative treatment and local steroid injection
  • Patients without femur head immigration on X-ray
  • Patients with injury for one month to six months maximum
Exclusion Criteria
  • Patients with femur head immigration on X-ray
  • Patients with injury for more than six months
  • Uncontrolled diabetes mellitus type 1 and 2
  • Patients with non controlled Vascular hypertension
  • Significant renal disease, defined as a history of chronic renal failure requiring dialysis or kidney transplant.
  • Myocardial infarction, other acute cardiac event requiring hospitalization, stroke, transient ischemic attack, or treatment for acute congestive heart failure within 4 months prior to randomization

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Issa3Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical ManagementDr.A.Sayed Issa and his team
Primary Outcome Measures
NameTimeMethod
Less open surgery trauma25 minutes to 45 minutes,

Directly going to the goal lesion with less expansion

Secondary Outcome Measures
NameTimeMethod
Smaller surgical incision than MLSALess than 5 cm

Directly going to the goal lesion

Trial Locations

Locations (1)

Dr. Abdulhamid Sayed Issa Clinic

🇸🇾

Aleppo, Syrian Arab Republic

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