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

Sayed Issa's Hybrid Limited Shoulder Surgical Management (HLSSM)

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05897866

Acronym

HLSSM

Enrollment

Registered

2023-06-09

Start date

2020-09-01

Completion date

2023-05-12

Last updated

2023-06-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Adhesive Capsulitis, Frozen Shoulder, Hill-Sachs Lesion, Rotator Cuff Tear, Shoulder Impingement Syndrome, Tendinopathy

Keywords

Shoulder, Shoulder approach, Lateral Shoulder approach, Shoulder impingement syndrome, Rotator cuff tendinopathy, Adhesive capsulitis, Frozen shoulder syndrome, MLSA, Shoulder arthroscopy, Mini Lateral Shoulder Approach, Second Sayed Issa's Approach, Hill-sachs lesion, mini-incision release, Tendinopathy, arthroscopy, tendon injuries

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.

Interventions

PROCEDURESayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management

Using Arthroscopy and then Limited Opening by Mini Lateral Shoulder Approach (MLSA) for the shoulder surgery.

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Healthy volunteers

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

Design outcomes

Primary

Measure	Time frame	Description
Less open surgery trauma	25 minutes to 45 minutes,	Directly going to the goal lesion with less expansion

Secondary

Measure	Time frame	Description
Smaller surgical incision than MLSA	Less than 5 cm	Directly going to the goal lesion

Countries

Syria

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026