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

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-01

Study Completion Date

2024-10-31

Brief Summary

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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).

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Detailed Description

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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.

Conditions

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Shoulder Dislocation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

case series of 25 patients

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

arthroscopic dynamic anterior stabilization using Long head of biceps as for recurrent anterior shoulder dislocation arthroscopic transfer of the Long head of biceps to the anterior glenoid inpatients with recurrent shoulder dislocation

Group Type EXPERIMENTAL

arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

Intervention Type PROCEDURE

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

Interventions

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arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

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

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* 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.

Minimum Eligible Age

20 Years

Maximum Eligible Age

32 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No