Prevalence, Pattern, and Spectrum of Glenoid Bone Loss in Anterior Shoulder Dislocation: CT Analysis of 218 Patients

2008 ◽  
Vol 190 (5) ◽  
pp. 1247-1254 ◽  
Author(s):  
James F. Griffith ◽  
Gregory E. Antonio ◽  
Patrick S. H. Yung ◽  
Eric M. C. Wong ◽  
Alfred B. Yu ◽  
...  
Keyword(s):  
Bone Loss ◽  
Shoulder Dislocation ◽  
Glenoid Bone Loss ◽  
Anterior Shoulder Dislocation ◽  
Ct Analysis

LATARJET PROCEDURE FOR RECURRENT SHOULDER ANTERIOR INSTABILITY WITH LESS THAN 25% GLENOID BONE LOSS- ITS FUNCTIONAL OUTCOME: A PROSPECTIVE STUDY

2021 ◽  
pp. 62-65
Author(s):  
Arun Kumar KV ◽  
Arun Kumar C ◽  
Venkatachalam K ◽  
Gussain Rahul Vijay ◽  
Ashwin V Y ◽  
...  
Keyword(s):  
Bone Loss ◽  
Functional Outcome ◽  
Shoulder Dislocation ◽  
Scoring System ◽  
Index Score ◽  
Glenoid Bone Loss ◽  
Anterior Shoulder Dislocation ◽  
Latarjet Procedure ◽  
Shoulder Score

Background: Latarjet procedure for a recurrent anterior shoulder dislocation with more than 25% of bone loss is a standard treatment with good functional outcome. In glenoid bone loss < than25%, there is no concurrence in the surgery of choice between Bankart repair, Remplissage procedure and Latarjet procedure. This study is aimed to study the functional outcome following Latarjet procedure in recurrent shoulder instability in patients with < than 25% glenoid bone loss and also to assess the instability symptoms and complications following this procedure. Methods: It is a Clinical, Prospective and Observational study on thirty patients with recurrent anterior dislocation of shoulder, with less than 25% glenoid bone loss treated with Open Latarjet Procedure, at Chettinad Hospital and Research Institute, Kelambakkam, done between Jan 2017 to Dec 2020, with a minimum follow-up of atleast 1year duration. Patients were post-operatively assessed functionally using Constant shoulder score, Rowe scoring system and the Walch- Duplay index score. Clinical instability was also assessed using the Anterior Apprehension and Anterior Drawer Test. Results: In our study with thirty patients, who underwent Latarjet procedure, Functional outcome of the patients were assessed using the Constant shoulder score, Rowe scoring system and the Walch- Duplay index score. The combined average percentage of Score of Scores of the three scoring systems were 74.46% had Excellent results, 14.42% had Good and 11.12% of patients had Average or Fair results. None of the patients had any instability symptoms post-operatively at the 1year post-op follow-up. Four patients had supercial Surgical Site Infections and 2 patients had developed mild to moderate shoulder stiffness. Conclusion: The Latarjet gives conrmationally Excellent to Good functional outcome and aid in the early return to activities of daily living and a fewer failure rate. In patients with Recurrent Anterior Shoulder Dislocation, with even less than 25% Glenoid bone loss, it may be pertinent to primarily consider the osseous option of a coracoid transfer (Latarjet) rather than opt for simpler Open Bankart, Arthroscopic Bankart or an Arthroscopic Remplissage procedure alone. Thus, as a yardstick the bone loss concept, either on the Glenoidal or on the Humeral aspect, alone, need to be the deciding factor. The fact remains that in the athletic or otherwise Recurrent Anterior Shoulder Dislocators, there is also a concomitant humeral component, apart from the apparent and demonstrable Glenoid defect with the “Circle concept”.

scholarly journals Early outcomes of the arthroscopic Latarjet procedure in a series of 37 patients with shoulder instability

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Zheng Zeng ◽  
Chuan Liu ◽  
Yang Liu ◽  
Yan Huang
Keyword(s):  
Bone Resorption ◽  
Bone Loss ◽  
Shoulder Dislocation ◽  
Glenoid Bone Loss ◽  
Anterior Shoulder Dislocation ◽  
Latarjet Procedure ◽  
Capsular Repair ◽  
Arthroscopic Latarjet ◽  
Arthroscopic Latarjet Procedure

Abstract Background Anterior shoulder dislocation remains a clinical challenge. This study aimed to assess the graft position and clinical outcomes of the arthroscopic Latarjet procedure and capsular repair for the treatment of recurrent anterior shoulder dislocation with significant glenoid bone loss in 37 patients. Methods Between 2017 and 2017, 37 patients underwent arthroscopic Latarjet plus capsular repair procedure for recurrent anterior shoulder dislocation combined with significant glenoid bone loss. In follow-up examinations, Walch-Duplay scores, subjective shoulder value (SSV) scores, Rowe scores, and active range of motion (AROM) were assessed. Three-dimensional computed tomography (CT) was used to evaluate coracoid graft position and bone resorption. A new method of evaluating the position of the coracoid bone block after Latarjet (H-Z method) was developed. Results Thirty-seven patients were included in this study. Follow-up ranged from 6 to 36 months postoperatively (with an average of 13 months). No recurrent dislocation occurred at the final follow-up, and there was no significant effect on the AROM (all p > 0.05). Rowe (from 42.2 ± 5.6 to 91.1 ± 3.3), Walch-Duplay (from 31.5 ± 8.0 to 92.6 ± 3.7), and SSV (from 63.9 ± 6.1 to 79.3% ± 5.0%) scores were improved significantly after surgery (all p < 0.001). CT showed that the 29 patients had varying degrees of bone resorption, and 23 recovered to the preinjury level of motional function within 6–12 months after surgery. Conclusions In active patients with recurrent anterior shoulder dislocations and significant glenoid bone loss, the arthroscopic Latarjet procedure plus capsular repair could restore shoulder stability satisfactory.

Mechanism and patterns of bone loss in patients with anterior shoulder dislocation

2020 ◽  
Vol 29 (10) ◽  
pp. 1974-1980
Author(s):  
Toshimitsu Etoh ◽  
Nobuyuki Yamamoto ◽  
Kiyotsugu Shinagawa ◽  
Taku Hatta ◽  
Eiji Itoi
Keyword(s):  
Bone Loss ◽  
Shoulder Dislocation ◽  
Anterior Shoulder Dislocation

ROLE OF 3D CT SCAN IN QUANTIFYING GLENOID BONE LOSS IN RECURRENT UNILATERAL SHOULDER DISLOCATION

2021 ◽  
pp. 173-177
Author(s):  
Shivprasad Jaybhay ◽  
Madhuri Misal
Keyword(s):  
Bone Loss ◽  
Predictive Value ◽  
Shoulder Dislocation ◽  
False Negative ◽  
Three Dimensional ◽  
High Sensitivity ◽  
Cross Sectional Study ◽  
Glenoid Bone Loss ◽  
Cross Sectional ◽  
Recurrent Shoulder Dislocation

Purpose: Patients with recurrent shoulder instability often present with osseous injury to the glenoid and humeral head. Glenoid bone loss can easily be quantied on a three-dimensional computed tomography scan by modeling the inferior portion of the glenoid contour as a true circle on an en face view. This study investigated the accuracy of CT in determining the presence and severity of glenoid bone loss in patients with unilateral recurrent shoulder dislocation. Methodology: This prospective cross-sectional study was done among patients with unilateral recurrent shoulder dislocation. Forty patients with anterior shoulder dislocation underwent shoulder CT examination before arthroscopy. Results: Glenoid bone loss was evident in 38 (95%) of the 40 patients at arthroscopy. Compared with arthroscopy, CT had sensitivity in detecting glenoid bone loss of 92.1%; specicity, 100%; positive predictive value, 100%; and negative predictive value, 40.0%. Three false-negative CT assessments had 5%, 5%, and 20% glenoid bone loss, respectively, at arthroscopy. There was a strong correlation between CT and arthroscopy with respect to the severity of glenoid bone loss (r = 0.73). Conclusion: CT has both a high sensitivity and a high specicity for detecting glenoid bone loss, and agreement with arthroscopy regarding the severity of glenoid bone loss is good. CT can be used to assess glenoid bone loss and the need for bone augmentation surgery.

Bipolar Bone Loss in Patients With Anterior Shoulder Dislocation: A Comparison of Adolescents Versus Adult Patients

2017 ◽  
Vol 33 (10) ◽  
pp. 1755-1761 ◽  
Author(s):  
Brian C. Lau ◽  
Devin Conway ◽  
Patrick F. Curran ◽  
Brian T. Feeley ◽  
Nirav K. Pandya
Keyword(s):  
Bone Loss ◽  
Shoulder Dislocation ◽  
Adult Patients ◽  
Anterior Shoulder Dislocation

scholarly journals Glenoid Bone Loss Measurement in Recurrent Shoulder Dislocation

2014 ◽  
Vol 2 (9) ◽  
pp. 232596711454954 ◽  
Author(s):  
Lisa G.M. Friedman ◽  
Sergio A. Ulloa ◽  
David T. Braun ◽  
Hussein A. Saad ◽  
Morgan H. Jones ◽  
...  
Keyword(s):  
Bone Loss ◽  
Shoulder Dislocation ◽  
Glenoid Bone Loss ◽  
Loss Measurement ◽  
Recurrent Shoulder Dislocation
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