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

Cairo University25 enrolled

Overview

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).

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Shoulder Dislocation

Interventions

arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocationPROCEDURE

arthroscopic dynamic anterior stabilization transferring long head of biceps to the anterior glenoid in patients with recurrent anterior shoulder dislocation

Eligibility

Sex: ALLMin age: 20 YearsMax age: 32 Years

Medical Language ↔ Plain English

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.

Locations (1)

Faculty of Medicine, Cairo University

Giza, Cairo Governorate, Egypt

Outcomes

Primary Outcomes

rowe score

shoulder score, the maximum is 100, the minimum is zero, the higher score means a better outcome

Time frame: baseline, and 2 years postoperative

Quick Disabilities of Arm, Shoulder and Hand

shoulder score, the maximum is 100, the minimum is zero, the higher score means a worse outcome

Time frame: baseline, and 2 years postoperative

Data from ClinicalTrials.gov

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