Advertisement

Anterior Instability with Bone Loss: Latarjet Procedure

  • Burak Altintas
  • Jonathan A. Godin
  • Peter J. Millett
Chapter

Abstract

When glenoid bone loss develops following frequent or traumatic dislocations, the risk of recurrent anterior instability is elevated, rendering a soft tissue repair an inadequate treatment option. The Latarjet procedure involves transfer of the coracoid process to the anteroinferior glenoid with the conjoint tendon still attached and can restore glenohumeral stability in this high-risk patient population.

Keywords

Glenohumeral instability Shoulder instability Latarjet procedure Glenoid bone loss 

Recommended Literature

  1. 1.
    Young AA, Maia R, Berhouet J, Walch G. Open Latarjet procedure for management of bone loss in anterior instability of the glenohumeral joint. J Shoulder Elb Surg. 2011;20(2):S61–9.  https://doi.org/10.1016/j.jse.2010.07.022.CrossRefGoogle Scholar
  2. 2.
    Mook WR, Petri M, Greenspoon JA, Horan MP, Dornan GJ, Millett PJ. Clinical and anatomic predictors of outcomes after the Latarjet procedure for the treatment of anterior glenohumeral instability with combined glenoid and humeral bone defects. Am J Sports Med. 2016;44(6):1407–16.  https://doi.org/10.1177/0363546516634089.CrossRefPubMedGoogle Scholar
  3. 3.
    Montgomery SR, Katthagen JC, Mikula JD, et al. Anatomic and biomechanical comparison of the classic and congruent-arc techniques of the Latarjet procedure. Am J Sports Med. 2017;45(6):1252–60.  https://doi.org/10.1177/0363546516685318.CrossRefPubMedGoogle Scholar
  4. 4.
    Mizuno N, Denard PJ, Raiss P, Melis B, Walch G. Long-term results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elb Surg. 2014;23(11):1691–9.  https://doi.org/10.1016/j.jse.2014.02.015.CrossRefGoogle Scholar
  5. 5.
    Katthagen JC, Anavian J, Tahal DS, Millett PJ. Arthroscopic remplissage and open Latarjet procedure for the treatment of anterior glenohumeral instability with severe bipolar bone loss. Arthrosc Tech. 2016;5(5):e1135–41.  https://doi.org/10.1016/j.eats.2016.06.006.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy. 2000;16(7):677–94.  https://doi.org/10.1053/jars.2000.17715.CrossRefGoogle Scholar
  7. 7.
    Bhatia S, Frank RM, Ghodadra NS, et al. The outcomes and surgical techniques of the Latarjet procedure. Arthroscopy. 2014;30(2):227–35.  https://doi.org/10.1016/j.arthro.2013.10.013.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Burak Altintas
    • 1
  • Jonathan A. Godin
    • 2
  • Peter J. Millett
    • 3
  1. 1.Department of Orthopeadic Surgery and Sports MedicineUniversity of KentuckyLexingtonUSA
  2. 2.Department of Orthopaedic SurgeryVirginia Tech Carilion School of MedicineRoanokeUSA
  3. 3.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

Personalised recommendations