Arthroscopic stabilization for anterior shoulder instability with subcritical glenoid bone loss

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Patients aged 18 or older with recurrent, symptomatic anterior shoulder instability and subcritical glenoid bone loss (about 13.5% to 20%) undergo either arthroscopic Latarjet stabilization or dynamic anterior stabilization (DAS). The trial compares these surgical approaches in a real-world setting with typical associated lesions to determine which technique provides better joint stability and functional outcomes over 24 months. Outcomes likely include recurrence of instability, shoulder function, and patient-reported measures, with follow-up planned to assess durability. The protocol emphasizes careful patient selection, imaging-based bone loss classification, and management of associated lesions such as HAGL and Hill-Sachs lesions. The trial is conducted at Clinique Générale dAnnecy with no listed collaborators beyond the lead sponsor.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* aged 18 or older
* with symptomatic recurrent anterior shoulder instability indicating the need for surgical stabilization
* whose glenoid bone loss must be classified as subcritical, approximately between 13.5% and 20%, according to the criteria defined in the protocol
* with HAGL lesions
* with bone lesions
* capable of providing informed consent and complying with the planned 24-month follow-up

Exclusion Criteria:

* with glenoid bone loss exceeding 20%
* with a clear indication for another procedure not covered by the protocol (particularly if routine bone grafting is required and incompatible with the study)
* with a history of bone stabilization of the affected shoulder
* with a transfixing rotator cuff tear or a neurological condition impairing shoulder function
* unable to guarantee adequate follow-up
* under legal guardianship (curatorship, guardianship, or judicial protection)
* deprived of liberty by judicial or administrative order
* receiving psychiatric care
* not enrolled in a social security program

Where it's running

• Clinique Générale d'Annecy
  Annecy, France Recruiting

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.