Clinical results of shoulder arthroscopy combined with an open modified Latarjet procedure for chronic anterior shoulder instability with glenoid bony loss

Background: Nearly all studies describing shoulder stabilization focus on male patients. Little is known regarding the clinical outcomes of female patients undergoing shoulder stabilization, and even less is understood about females with glenoid bone loss. Purpose: To assess the clinical outcomes of female patients with recurrent anterior shoulder instability treated with the Latarjet procedure. Study Design: Case series; Level of evidence, 4. Methods: All cases of female patients who had recurrent anterior shoulder instability with ≥15% anterior glenoid bone loss and underwent the Latarjet procedure were analyzed. Patients were evaluated after a minimum 2-year postoperative period with scores of the American Shoulder and Elbow Surgeons form, Simple Shoulder Test, and pain visual analog scale. Results: Of the 22 patients who met our criteria, 5 (22.7%) were lost to follow-up, leaving 17 (77.2%) available for follow-up with a mean ± SD age of 31.7 ± 12.9 years. Among these patients, 16 (94.1%) underwent 1.6 ± 0.73 ipsilateral shoulder operations (range, 1-3) before undergoing the Latarjet procedure. Preoperative indications for surgery included recurrent instability with bone loss in all cases. After a mean follow-up of 40.2 ± 22.9 months, patients experienced significant score improvements in the American Shoulder and Elbow Surgeons form, Simple Shoulder Test, and pain visual analog scale ( P < .05 for all). There were 2 reoperations (11.8%). There were no cases of neurovascular injuries or other complications. Conclusion: Female patients with recurrent shoulder instability with glenoid bone loss can be successfully treated with the Latarjet procedure, with outcomes similar to those of male patients in the previously published literature. This information can be used to counsel female patients with recurrent instability with significant anterior glenoid bone loss.

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Response to: Regarding: Neer Award 2019: Latarjet procedure vs. iliac crest bone graft transfer for treatment of anterior shoulder instability with glenoid bone loss: a prospective randomized trial.

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2021.04.018 ◽

2021 ◽

Author(s):

Philipp Moroder

Keyword(s):

Bone Loss ◽

Bone Graft ◽

Randomized Trial ◽

Shoulder Instability ◽

Iliac Crest ◽

Prospective Randomized Trial ◽

Glenoid Bone Loss ◽

Anterior Shoulder Instability ◽

Iliac Crest Bone Graft ◽

Latarjet Procedure

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ARTHROSCOPIC LATARJET TECHNIQUE COMBINED WITH ENDOBUTTONS: FUNCTIONAL OUTCOMES IN 26 CASES

Acta Ortopédica Brasileira ◽

10.1590/1413-785220182605208650 ◽

2018 ◽

Vol 26 (5) ◽

pp. 328-331 ◽

Cited By ~ 2

Author(s):

Alexandre Tadeu do Nascimento ◽

Gustavo Kogake Claudio ◽

Pedro Bellei Rocha ◽

Juan Pablo Zumárraga ◽

Olavo Pires de Camargo

Keyword(s):

Shoulder Instability ◽

Functional Outcomes ◽

Short Form ◽

Case Series ◽

Anterior Shoulder Instability ◽

Latarjet Procedure ◽

Glenohumeral Instability ◽

Duration Of Symptoms ◽

Arthroscopic Latarjet ◽

Arthroscopic Latarjet Procedure

ABSTRACT Objective: The cause of anterior shoulder instability is not fully understood and surgical management remains controversial. The objective of this study was to evaluate the results of patients undergoing arthroscopic Latarjet procedure with endobuttons. Methods: A retrospective study of 26 patients undergoing arthroscopic Latarjet procedure with endobuttons to treat anterior shoulder instability. Patients with previous glenohumeral instability, failure of Bankart procedure or Instability Severity Index Score (ISIS) greater than or equal to 6, were included. Patients were assessed by: DASH, UCLA, Rowe, Visual Analog Scale (VAS) of pain and Short-Form 36 (SF36) scores. Correct position and consolidation of the graft were evaluated. Results: Mean age was 31.5 years (16 to 46). Preoperative duration of symptoms was 1.7 years (1 month to 10 years). Mean follow-up was 14.3 (6 to 24) months. Mean postoperative scores were: 10 points in DASH; 1.6 in VAS, where 23 (88%) patients experienced mild pain and 3 (12%) moderate pain; 89 in Rowe; 32 in UCLA and 78 in SF-36. Positioning of the graft was correct in 25 (96%) cases, and was consolidated in 23 (88%). We had two cases of graft fracture (7%) and postoperative migration (7%). Conclusion: Surgical treatment using arthroscopic Latarjet with endobuttons is safe and effective, producing good functional outcomes in patients. Level of Evidence IV, Case Series.

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Arthroscopic Bankart repair with remplissage versus Latarjet procedure for management of engaging Hill-Sachs lesions with subcritical glenoid bone loss in traumatic anterior shoulder instability: a systematic review and meta-analysis

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2020.04.032 ◽

2020 ◽

Vol 29 (10) ◽

pp. 2163-2174

Author(s):

Haitham K. Haroun ◽

Mohamed H. Sobhy ◽

Amr A. Abdelrahman

Keyword(s):

Systematic Review ◽

Bone Loss ◽

Shoulder Instability ◽

Meta Analysis ◽

Glenoid Bone Loss ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Latarjet Procedure ◽

Arthroscopic Bankart Repair

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Treatment type may influence degree of post-dislocation shoulder osteoarthritis: a systematic review and meta-analysis

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-020-06263-3 ◽

2020 ◽

Cited By ~ 1

Author(s):

Lukas P. E. Verweij ◽

Erik C. Pruijssen ◽

Gino M. M. J. Kerkhoffs ◽

Leendert Blankevoort ◽

Inger N. Sierevelt ◽

...

Keyword(s):

Operative Treatment ◽

Shoulder Instability ◽

Operative Procedures ◽

Lower Degree ◽

Anterior Shoulder Instability ◽

Latarjet Procedure ◽

Eligibility Criteria ◽

Level Of Evidence ◽

Treatment Type

Abstract Purpose Age at primary dislocation, recurrence, and glenoid bone loss are associated with development of osteoarthritis (OA). However, an overview of OA following traumatic anterior shoulder instability is lacking and it is unclear to what degree type of surgery is associated with development of OA in comparison to non-operative treatment. The aim of this study was to determine the degree of OA at long-term follow-up after non-operative and operative treatments for patients with anterior shoulder instability. Surgery is indicated when patients experience recurrence and this is associated with OA; therefore, it was hypothesized that shoulders show a higher proportion or degree of OA following operative treatment compared to non-operative treatment. Methods A literature search was performed in the PubMed/Medline, EMBASE, and Cochrane databases. Articles reporting the degree of OA that was assessed with the Samilson–Prieto or Buscayret OA classification method after non-operative and operative treatment for anterior shoulder instability with a minimum of 5 years follow-up were included. Results Thirty-six articles met the eligibility criteria of which 1 reported the degree of OA for non-operative treatment and 35 reported the degree of OA for 9 different operative procedures. A total of 1832 patients (1854 shoulders) were included. OA proportions of non-operative and operative treatments are similar at any point of follow-up. The Latarjet procedure showed a lower degree of OA compared to non-operative treatment and the other operative procedures, except for the Bristow procedure and Rockwood capsular shift. The meta-analyses showed comparable development of OA over time among the treatment options. An increase in OA proportion was observed when comparing the injured to the contralateral shoulder. However, a difference between the operative subgroups was observed in neither analysis. Conclusion Non-operative and operative treatments show similar OA proportions at any point of follow-up. The hypothesis that shoulders showed a higher proportion or degree of OA following operative treatment compared to non-operative treatment is not supported by the data. Operative treatment according to the Latarjet procedure results in a lower degree of OA compared to other treatments, including non-operative treatment. Level of evidence IV.

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