Labroplasty in Cases of Anterior Shoulder Instability With Subcritical Glenoid Bone Loss

Kasr El Aini Hospital21 enrolled

Overview

The goal of this clinical trial is to learn Labroplasty using the long head of biceps tendon works to patients with recurrent anterior shoulder instability with subcritical glenoid bone loss (\<20%) and thinned or deficient anterior labrum .The main questions it aims to answer are: Does Labroplasty using the long head of biceps improve the functional and radiological outcomes in patients with recurrent anterior shoulder instability with subcritical glenoid bone loss? Participants will: undergo arthroscopic labroplasty using the long head of biceps tendon Visit the clinic regularly for checkup and followup undergo MRI at 6 months to check radiological outcome

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Recurrent Anterior Shoulder Instability

Interventions

Eligibility

Sex: ALLMin age: 16 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients with recurrent anterior shoulder instability with one or more events of anterior shoulder dislocation. * Franceschi types 2 and 3 labral defects * subcritical glenoid bone loss \<20% * positive anterior shoulder apprehension Exclusion Criteria: * Critical glenoid bones loss \>20% * Franceschi type 1 labral defect * concomitant long head of biceps tendon pathology * multidirectional instability * prior arthroscopic shoulder stabilization surgery * concomitant proximal humeral fractures * concomitant Rotator cuff tears * skeletally immature patients * glenoid pathology * Shoulder arthritis * active infection

Outcomes

Primary Outcomes

Change in Modified Rowe score postoperative

Time frame: Assessed preoperative , then at 6 months and 12 months postoperative

Secondary Outcomes

Constant shoulder score

Time frame: assessed preoperative , then at 6 months and 12 months postopertive