Presentation
History of left shoulder surgeries for repeated dislocations. Continuing shoulder instability.
Patient Data
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 oriented: 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 stabilization before undergoing a Laterjet.
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