Labroplasty in Cases of Anterior Shoulder Instability With Subcritical Glenoid Bone Loss
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Arthroscopic Labroplasty using long head of biceps tendon.
- Who it may be relevant to
- Registry conditions: Recurrent Anterior Shoulder Instability. Basic parameters: from 16 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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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
Interventions
- Procedure Arthroscopic Labroplasty using long head of biceps tendon
Arthroscopic All-inside labral reconstruction using the long head of biceps tendon
Primary outcome measures
- Change in Modified Rowe score postoperative [Time frame: Assessed preoperative , then at 6 months and 12 months postoperative]
Secondary outcome measures (1)
- Constant shoulder score [Time frame: assessed preoperative , then at 6 months and 12 months postopertive]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Kasr El Aini Hospital — Cairo
Publications
- DeFroda S, Bokshan S, Stern E, Sullivan K, Owens BD. Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes. Curr Rev Musculoskelet Med. 2017 Dec;10(4):442-451. doi: 10.1007/s12178-017-9435-2. PMID 28971317
- Zacharias AJ, Platt BN, Rutherford M, Kamineni S. Shoulder Anteroinferior Glenoid Labrum Reconstruction With the Long Head of the Biceps Tendon Restores Glenohumeral Stability: A Cadaveric Biomechanical Study. Arthroscopy. 2023 Feb;39(2):196-201. doi: 10.1016/j.arthro.2022.09.010. Epub 2022 Sep 30. PMID 36183919
Identifiers
NCT: NCT07488039 · MD-439-2025