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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

Outside view of the proper positioning of the glenoid guide.
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Figure 4: Outside view of the proper positioning of the glenoid guide.

Mentions: We also used a special drill guide that allowed us to place two drill sleeves, parallel to the glenoid face and to one another as well, perpendicularly around the glenoid neck [Figures 4 and 5]. Furthermore we removed the scope and the cannulas and proceeded with the open part of the procedure.


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)

Outside view of the proper positioning of the glenoid guide.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Outside view of the proper positioning of the glenoid guide.
Mentions: We also used a special drill guide that allowed us to place two drill sleeves, parallel to the glenoid face and to one another as well, perpendicularly around the glenoid neck [Figures 4 and 5]. Furthermore we removed the scope and the cannulas and proceeded with the open part of the procedure.

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