Abstract

  Anterior instability of the shoulder following traumatic dislocation in young adults is a common complication. The Latarjet procedure is the most used technique to treat this instability. This technique consists in making a coracoid block at the anterior edge of the glenoid to avoid anterior dislocation of the humeral head. We studied the clinical results depending on the position of the bone block in postoperative radiographs. Our study included 70 patients. The average age was 25 and a half. The sex ratio was 9, the objective evaluation by the Duplay score was 86.6/100 points. The patient satisfaction rate was 89% and the main complication was glenohumeral osteoarthritis, affecting 20% of patients. The radiological study shows that a too medial or a proximal block is accompanied by a lower stability score and lower overall Duplay. Furthermore, it leads to a significant increase in the rate of glenohumeral osteoarthritis.

Keywords: Shoulder; Dislocation; Larajet; Instability

References

1. L Hovelius., et al. “Recurrences after initial dislocation of the shoulder. Results of a prospective study of treatment”. Journal of Bone and Joint Surgery 3 (1983): 343‑349.
2. J Bernageau., et al. “Value of the glenoid profile in recurrent luxations of the shoulder”. Revue De Chirurgie Orthopedique Et Reparatrice De L'appareil Moteur 2 (1976): 142‑147.
3. RL Samilson et V Prieto. “Dislocation arthropathy of the shoulder”. Journal of Bone and Joint Surgery 4 (1983): 456‑460.
4. D Gazielly. “Résultats des butées antérieures coracoïdiennes opérées en 1995 à propos de 89 cas”. Revue de Chirurgie Orthopédique 86 (2000): 103-109.
5. X Cassagnaud., et al. “Clinical and computed tomography results of 106 Latarjet-Patte procedures at mean 7.5 year follow-up”. Revue De Chirurgie Orthopedique Et Reparatrice De L’appareil Moteur8 (2003): 683-692.
6. P Paladini., et al. “Long-term subscapularis strength assessment after Bristow-Latarjet procedure: isometric study”. Journal of Shoulder and Elbow Surgery1 (2012): 42-47.
7. L Doursounian., et al. “Bristow-Latarjet procedure with specific instrumentation: study of 34 cases”. International Orthopaedics4 (2009): 1031-1036.
8. P Boileau., et al. “Arthroscopic Bankart-Bristow-Latarjet procedure: the development and early results of a safe and reproducible technique”. Arthroscopy: The Journal of Arthroscopic and Related Surgery11 (2010): 1434-1450.
9. LK Hovelius., et al. “Long-term results with the Bankart and Bristow-Latarjet procedures: recurrent shoulder instability and arthropathy”. Journal of Shoulder and Elbow Surgery5 (2001): 445-452.
10. L Lafosse., et al. “Arthroscopic latarjet procedure”. Orthopedic Clinics of North America 3 (2010): 393‑405.
11. LB Willemot., et al. “Influence of screw type and length on fixation of anterior glenoid bone grafts”. Shoulder and Elbow1 (2018): 32‑39.
12. Goutallier D and Glorion CH. “Cahier d’enseignement de la SOFCOT n 49, Expansion scientifique française. Paris. La butée coracoïdienne dans les instabilités antéro-interne de l’épaule”. Instabilités chroniques de l’épaule (1994): 41‑
13. GC Singer., et al. “Coracoid transposition for recurrent anterior instability of the shoulder. A 20-year follow-up study”. The Journal of Bone and Joint Surgery British 1 (1995): 73‑76.
14. CM Robinson., et al. “Functional Outcome and Risk of Recurrent Instability After Primary Traumatic Anterior Shoulder Dislocation in Young Patients”. Journal of Bone and Joint Surgery 11 (2006): 2326.
15. Sané AD., et al. “Echecs de la butée ostéoplastique de Latarjet. Étude préliminaire à propos de 24 cas”. Acta Orthopaedica et Traumatologica Turcica 45 (2011): 268-284.
16. D Huguet., et al. “Instabilité antérieure de l’épaule chez le sportif: à propos de 51 cas de stabilisation par intervention de Latarjet-Patte”. Acta Orthopaedica Belgica 4 (1996): 200‑206.
17. C Levigne. “Résultats à long terme des butées antériures coraoïdiennes, à propos 52 cas au recul homogène de 12 ans”. Revue De Chirurgie Orthopedique Et Reparatrice De L'appareil Moteur 1 (2000): 114-121.
18. Y Bouju., et al. “Stabilisation gléno-humérale par intervention de Latarjet-Patte modifiée: résultats avec un recul minimum de 10ans et intérêt sur la prévention de l’arthrose”. Revue de Chirurgie Orthopédique et Traumatologique 4 (2014): S10‑S16.
19. J Allain., et al. “Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder”. Journal of Bone and Joint Surgery 6 (1998): 841‑852.
20. A Lädermann., et al. “Injury of the Suprascapular Nerve During Latarjet Procedure: An Anatomic Study”. Arthroscopy 3 (2012): 316‑321.
21. N Mizuno., et al. “Long-term results of the Latarjet procedure for anterior instability of the shoulder”. Journal of Shoulder and Elbow Surgery11 (2014): 1691‑1699.

Citation

Citation: Khelil Khaled., et al. “Latarjet Procedure: Where to Fix the Coracoid Block?". Acta Scientific Medical Sciences 4.3 (2020): 139-142.

Copyright

Copyright: © 2020 Khelil Khaled., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.