Shoulder Dislocation
Conditions
Keywords
Dynamic anterior stabilization; onlay; glenohumeral instability.
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.
Interventions
PROCEDUREarthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation
arthroscopic dynamic anterior stabilization transferring long head of biceps to the anterior glenoid in patients with recurrent anterior shoulder dislocation
Sponsors
Cairo University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
case series of 25 patients
Eligibility
Sex/Gender
ALL
Age
20 Years to 32 Years
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. The
Exclusion criteria
were * 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| rowe score | 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 | baseline, and 2 years postoperative | shoulder score, the maximum is 100, the minimum is zero, the higher score means a worse outcome |
Countries
Egypt
Outcome results
None listed