NCT04766905 - Mini Lateral Shoulder Approach | Crick

Overview

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

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.

Study Type

INTERVENTIONAL

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Enrollment

28

Conditions

Shoulder Impingement Syndrome Rotator Cuff Tendinopathy Adhesive Capsulitis and Frozen Shoulder Syndrome

Interventions

Mini Lateral Shoulder Approach (MLSA)PROCEDURE

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.

Eligibility

Sex: ALLMin age: 16 YearsMax age: 73 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Locations (1)

Dr. Sayed Issa's Clinic

Aleppo, Syria

Outcomes

Primary Outcomes

Less surgical procedure time than traditional approaches

25 minutes to 45 minutes, it's depends of rotator cuff tear if exist or not.

Time frame: up to two years

Less rehabilitation time than traditional approaches

6 - 8 weeks

Time frame: up to two years

Passive physiotherapy immediately

next day of surgery

Time frame: up to two years

Active physiotherapy without rotator cuff tear

after two weeks of surgery

Time frame: up to two years

Mini cosmetic incision to the shoulder

4 - 5 cm

Time frame: up to two years

Active physiotherapy with rotator cuff tear

after three weeks of surgery

Time frame: up to two years

Secondary Outcomes

very good patients satisfaction

after 8 weeks

Time frame: up to two years

Restore deltoid muscle strength

about 3 months after surgery

Time frame: up to two years