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Completed

NCT Number: NCT06870721

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

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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Key information

Conditions

Shoulder Dislocation Joint Diseases Joint Dislocations Musculoskeletal Diseases Shoulder Injuries Wounds and Injuries

Age range

20 year–32 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Medicine, Cairo University

Giza, Cairo Governorate, Egypt

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

Procedure

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

Primary outcomes

  1. rowe score

    Time frame: baseline, and 2 years postoperative

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

  2. Quick Disabilities of Arm, Shoulder and Hand

    Time frame: baseline, and 2 years postoperative

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

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Mar 11, 2025
Registry last updated
Mar 11, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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