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One step arthroscopically assisted Latarjet and posterior bone-block, for recurrent posterior instability and anterior traumatic dislocation.

D'Ambrosi R, Perfetti C, Garavaglia G, Taverna E - Int J Shoulder Surg (2015 Jul-Sep)

Bottom Line: In order to address both problems, we decided to perform an arthroscopically assisted Latarjet procedure for anterior instability and to stabilize with a bone graft for posterior instability.To our best knowledge, this type of surgical procedure has so far never been reported in the literature.The purpose of this report is to present the surgical technique and to outline the decision making process.

View Article: PubMed Central - PubMed

Affiliation: Department of Shoulder Surgery, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy.

ABSTRACT
This case presents the challenges of the surgical management for a patient with a history of recurrent posterior shoulder instability and subsequently traumatic anterior dislocation. The patient was already on the waiting list for an arthroscopic posterior stabilization with anchors, when a car accident caused an additional anterior shoulder dislocation. This traumatic anterior dislocation created a bone loss with a glenoid fracture and aggravated the preexisting posterior instability. In order to address both problems, we decided to perform an arthroscopically assisted Latarjet procedure for anterior instability and to stabilize with a bone graft for posterior instability. To our best knowledge, this type of surgical procedure has so far never been reported in the literature. The purpose of this report is to present the surgical technique and to outline the decision making process.

No MeSH data available.


Related in: MedlinePlus

Rx left shoulder: In the first image dislocated shoulder immediately after the trauma. In subsequent images: Rx control of the left sholder after reduction.
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Figure 1: Rx left shoulder: In the first image dislocated shoulder immediately after the trauma. In subsequent images: Rx control of the left sholder after reduction.

Mentions: While waiting for surgery the patient had a car accident and sustained a traumatic anterior dislocation of the left shoulder. The dislocation was reduced in the emergency room, and physical treatment started after 1 week [Figure 1]. A new visit was scheduled 4 weeks after the car accident and the patient reported a worsening of instability with extreme apprehension and several new episodes of dislocation which he to be both anterior and posterior and that he was able to reduce by himself.


One step arthroscopically assisted Latarjet and posterior bone-block, for recurrent posterior instability and anterior traumatic dislocation.

D'Ambrosi R, Perfetti C, Garavaglia G, Taverna E - Int J Shoulder Surg (2015 Jul-Sep)

Rx left shoulder: In the first image dislocated shoulder immediately after the trauma. In subsequent images: Rx control of the left sholder after reduction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4528290&req=5

Figure 1: Rx left shoulder: In the first image dislocated shoulder immediately after the trauma. In subsequent images: Rx control of the left sholder after reduction.
Mentions: While waiting for surgery the patient had a car accident and sustained a traumatic anterior dislocation of the left shoulder. The dislocation was reduced in the emergency room, and physical treatment started after 1 week [Figure 1]. A new visit was scheduled 4 weeks after the car accident and the patient reported a worsening of instability with extreme apprehension and several new episodes of dislocation which he to be both anterior and posterior and that he was able to reduce by himself.

Bottom Line: In order to address both problems, we decided to perform an arthroscopically assisted Latarjet procedure for anterior instability and to stabilize with a bone graft for posterior instability.To our best knowledge, this type of surgical procedure has so far never been reported in the literature.The purpose of this report is to present the surgical technique and to outline the decision making process.

View Article: PubMed Central - PubMed

Affiliation: Department of Shoulder Surgery, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy.

ABSTRACT
This case presents the challenges of the surgical management for a patient with a history of recurrent posterior shoulder instability and subsequently traumatic anterior dislocation. The patient was already on the waiting list for an arthroscopic posterior stabilization with anchors, when a car accident caused an additional anterior shoulder dislocation. This traumatic anterior dislocation created a bone loss with a glenoid fracture and aggravated the preexisting posterior instability. In order to address both problems, we decided to perform an arthroscopically assisted Latarjet procedure for anterior instability and to stabilize with a bone graft for posterior instability. To our best knowledge, this type of surgical procedure has so far never been reported in the literature. The purpose of this report is to present the surgical technique and to outline the decision making process.

No MeSH data available.


Related in: MedlinePlus