Mini Lateral Shoulder Approach (MLSA) (Second Sayed Issa's Approach)

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Mini Lateral Shoulder Approach (MLSA) (Second Sayed Issa's Approach)


Abdulhamid Sayed Issa*

Orthopedic Surgeon, Professor, Adults Nursing Department and Traumatic and Orthopedic Nursing Faculty, School of Nursing and Midwifery of Aleppo, Syria


Introduction: The incision is very useful and easy for the direct lateral shoulder joint exposure, open shoulder release, open subacromial decompression, Impingement syndrome in the absence of rotator cuff tear, and Hill-Sachs lesion repair [1-3].

Methods: Clinical experience with this technique consists of 28 cases over a period of two years, this study were from January 17, 2019 to February 4, 2021. All cases were done as outpatient and under general anesthesia.

Results: The mean duration of the operation was 35 minutes, and the minimum duration was 25 minutes.

Conclusion: moderate experienced hand surgeons can use it. This technique is simple, safe, cosmetically and satisfactory.


Shoulder; Shoulder approach; Lateral shoulder approach; Shoulder impingement syndrome; Rotator cuff tendinopathy; Adhesive capsulitis; Frozen shoulder syndrome; Shoulder impingement syndrome Shoulder injuries; Tendinopathy; Bursitis pathologic processes; Muscular diseases, Musculoskeletal; Diseases; Tendon injuries; Wounds and injuries; Joint diseases


Condition or disease

Shoulder Impingement Syndrome, Rotator Cuff Tendinopathy, Adhesive Capsulitis and Frozen Shoulder Syndrome [4-7].

Detailed description

The length of the incision is about four centimeter made by the lateral acromial edge (Figure 1).