Unsatisfactory Latarjet procedure

Case contributed by Dr Piyush P Siwach

Presentation

History of left shoulder surgeries for repeated dislocations. Continuing shoulder instability.

Patient Data

Age: 26
Gender: Female

In this patient, there is lack of alignment of the cortex of articular surface of glenoid fossa with the transferred coracoid process (the graft should be along and flush with the glenoid rim).  The screws are suboptimally orientated: they should be perpendicular to glenoid neck.  They project beyond the glenoid into infraspinatus and teres minor muscles

Changes indicative of previous Bankart lesion repair are also seen.

Case Discussion

The Latarjet procedure is used to treat glenohumeral joint instability (i.e. recurrent shoulder dislocation) and involves transfer of coracoid to anterior glenoid rim.  This is not usually the first line procedure for patients with shoulder joint instability, who will have typically undergone intensive shoulder physiotherapy and minimally invasive shoulder stabilisation before undergoing a Laterjet.

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Case information

rID: 53513
Case created: 22nd May 2017
Last edited: 22nd May 2017
Inclusion in quiz mode: Included

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