Outcomes of the Latarjet procedure in female patients: A case series and matched-pair analysis

Alexander N Berk; Anna M Ifarraguerri; Allison J Rao; Aseel G Dib; Alexander A Hysong; Joshua D Meade; David P Trofa; James E Fleischli; Shadley C Schiffern; Nady Hamid; Bryan M Saltzman

doi:10.1177/17585732231217170

Outcomes of the Latarjet procedure in female patients: A case series and matched-pair analysis

Shoulder Elbow. 2024 Feb;16(1):76-84. doi: 10.1177/17585732231217170. Epub 2023 Nov 27.

Authors

Alexander N Berk^{1

2

3}, Anna M Ifarraguerri^{1

2

3}, Allison J Rao⁴, Aseel G Dib^{2

3}, Alexander A Hysong^{2

3}, Joshua D Meade^{1

2

3}, David P Trofa⁵, James E Fleischli^{1

2

3}, Shadley C Schiffern^{1

2

3}, Nady Hamid^{1

2

3}, Bryan M Saltzman^{1

2

3}

Affiliations

¹ OrthoCarolina - Sports Medicine Center, Charlotte, NC, USA.
² OrthoCarolina Research Institute, Charlotte, NC, USA.
³ Atrium Health - Musculoskeletal Institute, Charlotte, NC, USA.
⁴ Department of Orthopedic Surgery, University of Minnesota Physicians, University of Minnesota, Minneapolis, MNN, USA.
⁵ Department of Orthopaedics, New York Presbyterian, Columbia University Medical Center, New York, NY, USA.

PMID: 38435033
PMCID: PMC10902412 (available on 2025-02-01)
DOI: 10.1177/17585732231217170

Abstract

Background: The objective of this study was to retrospectively report on the outcomes of female patients undergoing the Latarjet procedure.

Methods: Female patients undergoing the Latarjet procedure with minimum 1 year follow-up were identified and contacted to obtain Numeric Pain Rating Scale (NPRS), Subjective Shoulder Value (SSV), and return to sport (RTS) data. Eligible females were then matched 1:1 with a male counterpart based on laterality and age (± 3 years), and outcomes compared.

Results: A total of 20 female patients with a mean follow-up of 73.8 months reported postoperative NPRS and SSV scores of 2.2 ± 2.3 and 69.3 ± 22.0, respectively. Of the nine athletes, 3 (33%) reported a successful RTS at a mean of 9 months. Four patients (20.0%) required reoperation at a mean of 27.1 months. The matched analysis demonstrated similar NPRS scores between male and female patients and a trend towards lower SSV scores and rates of RTS.

Conclusion: At mid-term follow-up female patients reported pain levels similar to female-specific literature reports, but overall low subjective shoulder function and RTS. Compared to propensity-matched males, females reported similar levels of pain, lower shoulder function, and lower rates of RTS, however, differences did not reach statistical significance.

Level of evidence: IV, retrospective case series.

Keywords: Latarjet procedure; female; patient-reported outcomes; return to sport; shoulder dislocation; shoulder instability.