Adhesive Capsulitis and Frozen Shoulder Syndrome, Rotator Cuff Tendinopathy, Shoulder Impingement Syndrome
Conditions
Keywords
Shoulder, Shoulder approach, Lateral Shoulder approach, Shoulder impingement syndrome, Rotator cuff tendinopathy, Adhesive capsulitis, Frozen shoulder syndrome
Brief summary
The incision is very useful and easy for the direct lateral shoulder joint exposure.
Detailed description
The skin incision is about 4 to 5 cm made by the distal acromial edge in sagittal plane, The dissection takes place slightly over the acromial edge proximally and over the origin of the acromial deltoid part (the middle part of deltoid origin) distally. After clearly revealing the region of the medial deltoid origin on the acromion, the acromionic deltoid origin is skinned only; of the edge of the acromion, and that maybe accrued by electric knife pen or periosteal elevator, without exposure the clavicular deltoid origin in the front and the deltoid origin on the spine of scapula in the back, the origin of the acromial deltoid is distanced laterally and distally, where the lateral edge, the lower surface of the acromion, under acromial bursa and the rotator cuff are exposed clearly. Throw this approach can be made acromioplasty and rotator cuff tears repair especially upper part of rotator cuff tear very easily. For wound closure the acromionic deltoid origin is reattached to the acromial edge by long period synthetic absorbable sutures as PDS and PDO, or non absorbable sutures as Polyester suture, under skin and skin sutures are made.
Interventions
PROCEDUREMini Lateral Shoulder Approach (MLSA)
The skin incision is about 4 to 5 cm made by the distal acromial edge in sagittal plane, The dissection takes place slightly over the acromial edge proximally and over the origin of the acromial deltoid part (the middle part of deltoid origin) distally. After clearly revealing the region of the medial deltoid origin on the acromion, the acromionic deltoid origin is skinned only; of the edge of the acromion, and that maybe accrued by electric knife pen or periosteal elevator, without exposure the clavicular deltoid origin in the front and the deltoid origin on the spine of scapula in the back, the origin of the acromial deltoid is distanced laterally and distally, where the lateral edge, the lower surface of the acromion, under acromial bursa and the rotator cuff are exposed clearly.
Sponsors
Issa, Abdulhamid Sayed, M.D.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 73 Years
Healthy volunteers
Yes
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 * Un controlled 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 * Patients with history of Carpal Tunnel release surgery failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Active physiotherapy without rotator cuff tear | up to two years | after two weeks of surgery |
| Less rehabilitation time than traditional approaches | up to two years | 6 - 8 weeks |
| Passive physiotherapy immediately | up to two years | next day of surgery |
| Mini cosmetic incision to the shoulder | up to two years | 4 - 5 cm |
| Active physiotherapy with rotator cuff tear | up to two years | after three weeks of surgery |
| Less surgical procedure time than traditional approaches | up to two years | 25 minutes to 45 minutes, it's depends of rotator cuff tear if exist or not. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Restore deltoid muscle strength | up to two years | about 3 months after surgery |
| very good patients satisfaction | up to two years | after 8 weeks |
Countries
Syria
Outcome results
None listed