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

NCT06870721 | Completed

• 1 other identifier: N-208-2024
• Study Type: interventional
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

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).

Conditions

Shoulder Dislocation

Keywords

Dynamic anterior stabilization; onlay; glenohumeral instability.

Outcome Measures

Primary Outcomes (2)

• rowe score

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

  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

  baseline, and 2 years postoperative

Study Arms (1)

arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

EXPERIMENTAL

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

Procedure: arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

Interventions

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

arthroscopic dynamic anterior stabilization for recurrent anterior shoulder dislocation

Eligibility Criteria

• Age: 20 Years - 32 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Medicine, Cairo University

Giza, Cairo Governorate, Egypt

Location

Related Publications (4)

• Wu C, Xu J, Fang Z, Chen J, Ye Z, Wang L, Kang Y, Zhao S, Xu C, Zhao J. Arthroscopic Dynamic Anterior Stabilization Using Either Long Head of the Biceps or Conjoined Tendon Transfer for Anterior Shoulder Instability Results in a Similarly Low Recurrence Rate. Arthroscopy. 2023 Jul;39(7):1618-1627. doi: 10.1016/j.arthro.2022.12.040. Epub 2023 Jan 25.

  PMID: 36708745 BACKGROUND

• Collin P, Nabergoj M, Denard PJ, Wang S, Bothorel H, Ladermann A. Arthroscopic Biceps Transfer to the Glenoid With Bankart Repair Grants Satisfactory 2-Year Results for Recurrent Anteroinferior Glenohumeral Instability in Subcritical Bone Loss. Arthroscopy. 2022 Jun;38(6):1766-1771. doi: 10.1016/j.arthro.2021.11.043. Epub 2021 Dec 7.

  PMID: 34883198 BACKGROUND

• de Campos Azevedo C, Angelo AC. Onlay Dynamic Anterior Stabilization With Biceps Transfer for the Treatment of Anterior Glenohumeral Instability Produces Good Clinical Outcomes and Successful Healing at a Minimum 1 Year of Follow-Up. Arthrosc Sports Med Rehabil. 2023 Feb 23;5(2):e445-e457. doi: 10.1016/j.asmr.2023.01.012. eCollection 2023 Apr.

  PMID: 37101880 BACKGROUND

• Milenin O, Toussaint B. Labral Repair Augmentation by Labroplasty and Simultaneous Trans-Subscapular Transposition of the Long Head of the Biceps. Arthrosc Tech. 2019 Apr 26;8(5):e507-e512. doi: 10.1016/j.eats.2019.01.010. eCollection 2019 May.

  PMID: 31194141 BACKGROUND

MeSH Terms

Conditions

Shoulder Dislocation

Condition Hierarchy (Ancestors)

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

Study Officials

• mohamed H khalil, M.D

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Model Details: case series of 25 patients

Study Record Dates

• First Submitted: March 6, 2025
• First Posted: March 11, 2025
• Study Start: March 1, 2022
• Primary Completion: October 31, 2024
• Study Completion: October 31, 2024
• Last Updated: March 11, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)