Recurrent Anterior Shoulder Instability
Conditions
Keywords
Labroplasty
Brief summary
The goal of this clinical trial is to learn Labroplasty using the long head of biceps tendon works to patients with recurrent anterior shoulder instability with subcritical glenoid bone loss (\<20%) and thinned or deficient anterior labrum .The main questions it aims to answer are: Does Labroplasty using the long head of biceps improve the functional and radiological outcomes in patients with recurrent anterior shoulder instability with subcritical glenoid bone loss? Participants will: undergo arthroscopic labroplasty using the long head of biceps tendon Visit the clinic regularly for checkup and followup undergo MRI at 6 months to check radiological outcome
Interventions
Arthroscopic All-inside labral reconstruction using the long head of biceps tendon
Sponsors
Study design
Intervention model description
Single arm clinical trial
Eligibility
Inclusion criteria
* patients with recurrent anterior shoulder instability with one or more events of anterior shoulder dislocation. * Franceschi types 2 and 3 labral defects * subcritical glenoid bone loss \<20% * positive anterior shoulder apprehension
Exclusion criteria
* Critical glenoid bones loss \>20% * Franceschi type 1 labral defect * concomitant long head of biceps tendon pathology * multidirectional instability * prior arthroscopic shoulder stabilization surgery * concomitant proximal humeral fractures * concomitant Rotator cuff tears * skeletally immature patients * glenoid pathology * Shoulder arthritis * active infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Modified Rowe score postoperative | Assessed preoperative , then at 6 months and 12 months postoperative |
Secondary
| Measure | Time frame |
|---|---|
| Constant shoulder score | assessed preoperative , then at 6 months and 12 months postopertive |
Countries
Egypt