Mini Lateral Shoulder Approach (MLSA)

Issa, Abdulhamid Sayed, M.D.

Status

Completed

Conditions

Shoulder Impingement Syndrome

Adhesive Capsulitis and Frozen Shoulder Syndrome

Rotator Cuff Tendinopathy

Treatments

Procedure: Mini Lateral Shoulder Approach (MLSA)

Study type

Interventional

Identifiers

NCT04766905

Second Sayed Issa's Approach

Details and patient eligibility

About

The incision is very useful and easy for the direct lateral shoulder joint exposure.

Full 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.

Enrollment

28 patients

Sex

All

Ages

16 to 73 years old

Volunteers

Accepts 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
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