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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

Pre-operative computed tomography images. Axial and sagittal view. Left shoulder: humeral head that presents focal cortical erosion with small subcortical cystic-dystrophic irregularities along the anterior superior medial side. Incision of the profile cortex of the humeral head on the rear side. (a-b) Axial view (c) sagittal view
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Figure 2: Pre-operative computed tomography images. Axial and sagittal view. Left shoulder: humeral head that presents focal cortical erosion with small subcortical cystic-dystrophic irregularities along the anterior superior medial side. Incision of the profile cortex of the humeral head on the rear side. (a-b) Axial view (c) sagittal view

Mentions: For further evaluation we performed a computed tomography scan that revealed a Hill-Sachs lesion at the posterior aspect of the humeral head, 10-15% (of the total glenoid surface) bone loss at the anterior glenoid rim and about 10% bone posteriorly [Figure 2].


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)

Pre-operative computed tomography images. Axial and sagittal view. Left shoulder: humeral head that presents focal cortical erosion with small subcortical cystic-dystrophic irregularities along the anterior superior medial side. Incision of the profile cortex of the humeral head on the rear side. (a-b) Axial view (c) sagittal view
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Pre-operative computed tomography images. Axial and sagittal view. Left shoulder: humeral head that presents focal cortical erosion with small subcortical cystic-dystrophic irregularities along the anterior superior medial side. Incision of the profile cortex of the humeral head on the rear side. (a-b) Axial view (c) sagittal view
Mentions: For further evaluation we performed a computed tomography scan that revealed a Hill-Sachs lesion at the posterior aspect of the humeral head, 10-15% (of the total glenoid surface) bone loss at the anterior glenoid rim and about 10% bone posteriorly [Figure 2].

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