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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

Antero-posterior Rx image, left shoulder. Day after surgery. Correct anterior coracoid and posterior bone graft positioning
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Figure 7: Antero-posterior Rx image, left shoulder. Day after surgery. Correct anterior coracoid and posterior bone graft positioning

Mentions: With regard to the third step, we engraved the back of the shoulder by means of a blunt dissection to reach the deltoid. We ran split of the deltoid muscle and reached the infraspinatus muscle. We split the infraspinatus. Capsulotomy. We reached the posterior margin of the scapula. We shaved the posterior margin and placed the bone graft with a malleolar screw of 34 mm. We implanted the placement [Table 2]. Hemostasis suture. Medication and tutor [Figures 6 and 7].


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)

Antero-posterior Rx image, left shoulder. Day after surgery. Correct anterior coracoid and posterior bone graft positioning
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 7: Antero-posterior Rx image, left shoulder. Day after surgery. Correct anterior coracoid and posterior bone graft positioning
Mentions: With regard to the third step, we engraved the back of the shoulder by means of a blunt dissection to reach the deltoid. We ran split of the deltoid muscle and reached the infraspinatus muscle. We split the infraspinatus. Capsulotomy. We reached the posterior margin of the scapula. We shaved the posterior margin and placed the bone graft with a malleolar screw of 34 mm. We implanted the placement [Table 2]. Hemostasis suture. Medication and tutor [Figures 6 and 7].

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