Labroplasty in Cases of Anterior Shoulder Instability With Subcritical Glenoid Bone Loss

Labroplasty in Cases of Anterior Shoulder Instability With Subcritical Glenoid Bone Loss

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

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