Long Head of Biceps as an Anterior Dynamic Sling for Recurrent Anterior Shoulder Dislocation

Cairo University (CU)

Status: Completed

Conditions: Shoulder Dislocation

Treatments: Procedure: arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

Study type: Interventional

Funder types: Other

Identifiers

NCT06870721

N-208-2024

Details and patient eligibility

About

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).

Full 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.

Enrollment: 25 patients

Sex: All

Ages: 20 to 32 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion 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.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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25 participants in 1 patient group

arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

Experimental group

Description:

arthroscopic dynamic anterior stabilization using Long head of biceps as for recurrent anterior shoulder dislocation arthroscopic transfer of the Long head of biceps to the anterior glenoid inpatients with recurrent shoulder dislocation

Treatment:

Procedure: arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation