Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM)

Study Overview
=================
Brief Summary
-----------------
Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM) is a limited lateral approach to the shoulder arthroscopically guided. Which achieves less surgical trauma and smaller surgical incision than even in Mini Lateral Shoulder Approach (MLSA).

Detailed Description
-----------------
After making a full clinical, X-rays and MRI examinations of the shoulder, and finding Shoulder Impingement Syndrome, Adhesive Capsulitis, Rotator Cuff Tear, or Hill-Sachs lesion, we decide to manage the problem surgically We can survey the shoulder from the inside and determine the shape, size and the exact position of the defect by shoulder arthroscopy. The patient is operated on under general anesthesia; shoulder arthroscopy can be performed in the lateral decubitus or beach chair position which is the basic shoulder arthroscopy (Beach Chair Patient Positioning). After identifying the full characteristics of the lesion, we go for Mini Lateral Shoulder Approach (MLSA), as known as Second Sayed Issa's Approach.

Official Title
-----------------
Sayed Issa's Hybrid Limited Shoulder Surgical Management (HLSSM)

Conditions
-----------------
Shoulder Impingement Syndrome, Adhesive Capsulitis, Rotator Cuff Tear, Hill-Sachs Lesion, Frozen Shoulder, Tendinopathy

Intervention / Treatment
-----------------
* Procedure: Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients presented with Shoulder Impingement Syndrome refractory to conservative treatment and local steroid injection Patients presented with Adhesive Capsulitis and Frozen Shoulder Syndrome refractory to conservative treatment and local steroid injection Patients without femur head immigration on X-ray Patients with injury for one month to six months maximum Exclusion Criteria: Patients with femur head immigration on X-ray Patients with injury for more than six months Uncontrolled diabetes mellitus type 1 and 2 Patients with non controlled Vascular hypertension Significant renal disease, defined as a history of chronic renal failure requiring dialysis or kidney transplant. Myocardial infarction, other acute cardiac event requiring hospitalization, stroke, transient ischemic attack, or treatment for acute congestive heart failure within 4 months prior to randomization
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Issa3<br>Dr.A.Sayed Issa and his team | Procedure: Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management<br>* Using Arthroscopy and then Limited Opening by Mini Lateral Shoulder Approach (MLSA) for the shoulder surgery.<br>* Other names: Sayed Issa's HSSM;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Less open surgery trauma | Directly going to the goal lesion with less expansion | 25 minutes to 45 minutes, | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Smaller surgical incision than MLSA | Directly going to the goal lesion | Less than 5 cm | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Shoulder, Shoulder approach, Lateral Shoulder approach, Shoulder impingement syndrome, Rotator cuff tendinopathy, Adhesive capsulitis, Frozen shoulder syndrome, MLSA, Shoulder arthroscopy, Mini Lateral Shoulder Approach, Second Sayed Issa's Approach, Hill-sachs lesion, mini-incision release, Tendinopathy, arthroscopy, tendon injuries