It is called Sayed Issa’s second surgical Approach, after Dr. Abdulhamid Sayed Issa
A surgical patent was registered in his name according to the National Institute in the United States of America
https://clinicaltrials.gov/ct2/show/NCT04766905?term=MLSA…
- Genesis Publication
https://www.genesispub.org/mini-lateral-shoulder-approach-mlsa-second-sayed-issas-approach
- Researchgate
- Clincosm
https://www.clincosm.com/trial/shoulder-impingement-syndrome-rotator-cuff-tendinopathy-adhesive
Summary
Introduction about shoulder release: The incision is very useful and easy for direct lateral exposure of the shoulder joint, to open and release the shoulder, Open subacromial decompression, impingement syndrome, rotator cuff tear, and repairing the Hill-Sachs lesion.
This study took place from January 17, 2019, to February 4, 2021. All cases were performed as a one-day surgery and under general anesthesia.
Results: The average duration of the operation was 35 minutes, and the minimum duration was 25 minutes.
A summary of shoulder release: Shoulder surgeons with moderate experience can follow. This technique is simple, safe, and satisfactory for the patient
Conditions and diseases that require shoulder release:
Shoulder impingement syndrome, rotator cuff tendinitis, adhesive capsulitis, and frozen shoulder syndrome.
Shoulder release results with this technique:
1. This procedure takes about 35 minutes, that depends on rotator cuff tear exists or not.
2. Less rehabilitation time than traditional approaches, for 6 – 8 weeks.
3. Passive physiotherapy immediately, on the next day of surgery.
4. Active physiotherapy without rotator cuff tear, after two weeks of surgery.
5. Mini cosmetic incision to the shoulder, about 4-5 cm.
6. Active physiotherapy with rotator cuff tear, after three weeks of surgery.
8. Very good patient satisfaction, after 8 weeks.
9. Restore deltoid muscle strength, about 3 months after surgery.
Ages Eligible for this approach is from 16 to 73 years old, for both sexes.
Inclusion criteria of shoulder release by Mini Lateral Shoulder Approach:
• 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 of shoulder release by Mini Lateral Shoulder Approach:
• Patients with femur head immigration on X-ray.
• Patients with injury for more than six months.
• Uncontrolled diabetes mellitus type one and two.
• Patients with noncontrolled vascular hypertension.
A small cosmetic incision in the shoulder, about 4 cm.
Less rehabilitation time than traditional methods (6 – 8 weeks).
Immediately passive physical therapy the day after surgery.
Active physiotherapy two weeks after surgery.
Patient satisfaction is very good after 8 weeks.
Recovery of deltoid muscle strength approximately 3 months after surgery.
