Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM)

Issa, Abdulhamid Sayed, M.D.44 enrolled

Overview

Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM) is a limited lateral approach to the shoulder arthroscopically guided. Which achieves less surgical trauma and smaller surgical incision than even in Mini Lateral Shoulder Approach (MLSA).

After making a full clinical, X-rays and MRI examinations of the shoulder, and finding Shoulder Impingement Syndrome, Adhesive Capsulitis, Rotator Cuff Tear, or Hill-Sachs lesion, we decide to manage the problem surgically We can survey the shoulder from the inside and determine the shape, size and the exact position of the defect by shoulder arthroscopy. The patient is operated on under general anesthesia; shoulder arthroscopy can be performed in the lateral decubitus or beach chair position which is the basic shoulder arthroscopy (Beach Chair Patient Positioning). After identifying the full characteristics of the lesion, we go for Mini Lateral Shoulder Approach (MLSA), as known as Second Sayed Issa's Approach.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Shoulder Impingement Syndrome Adhesive Capsulitis Rotator Cuff Tear Hill-Sachs Lesion Frozen Shoulder Tendinopathy

Interventions

Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical ManagementPROCEDURE

Using Arthroscopy and then Limited Opening by Mini Lateral Shoulder Approach (MLSA) for the shoulder surgery.

Eligibility

Sex: ALL

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 * Uncontrolled 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

Locations (1)

Dr. Abdulhamid Sayed Issa Clinic

Aleppo, Syria

Outcomes

Primary Outcomes

Less open surgery trauma

Directly going to the goal lesion with less expansion

Time frame: 25 minutes to 45 minutes,

Secondary Outcomes

Smaller surgical incision than MLSA

Directly going to the goal lesion

Time frame: Less than 5 cm

Data from ClinicalTrials.gov

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