Arthroscopic Latarjet for Recurrent Shoulder Instability

Medicina (Kaunas). 2019 Sep 11;55(9):582. doi: 10.3390/medicina55090582.

Abstract

Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. Material and Methods: A total of 44 patients presenting recurrent shoulder instability were managed with aL procedure. Clinical outcomes were assessed at a mean follow-up of 29.6 ± 6.9 months. The postoperative active ROM was measured and compared with the contralateral shoulder. The Rowe, UCLA, and SST scores were administered preoperatively and postoperatively. Results: No patients experienced infections or neuro-vascular injuries. Seven (15%) patients required revision surgery. After surgery, the external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes also improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist.

Keywords: anterior recurrent instability; arthroscopic Latarjet; arthroscopy; shoulder instability; trauma.

MeSH terms

  • Adolescent
  • Adult
  • Arthroscopy / methods*
  • Female
  • Humans
  • Joint Instability / diagnostic imaging
  • Joint Instability / surgery*
  • Male
  • Middle Aged
  • Radiography
  • Range of Motion, Articular
  • Recurrence
  • Reoperation
  • Shoulder Joint / diagnostic imaging
  • Shoulder Joint / surgery*
  • Treatment Outcome
  • Young Adult