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Article

Arthroscopic Latarjet for Recurrent Shoulder Instability

by
Roberto Castricini
1,
Umile Giuseppe Longo
2,*,
Stefano Petrillo
2,
Vincenzo Candela
2,
Massimo De Benedetto
1,
Nicola Maffulli
3 and
Vincenzo Denaro
2
1
Department of Orthopaedic and Trauma Surgery, Villa Maria Cecilia Hospital, 48033 Cotignola, Ravenna, Italy
2
Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy
3
Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, Bancroft Rd, Bethnal Green, London E1 4DG, UK
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(9), 582; https://doi.org/10.3390/medicina55090582
Submission received: 17 April 2019 / Revised: 17 July 2019 / Accepted: 6 September 2019 / Published: 11 September 2019
(This article belongs to the Special Issue Advances in the Management of Shoulder Pathologies)
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Abstract

Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. Material and Methods: A total of 44 patients presenting recurrent shoulder instability were managed with aL procedure. Clinical outcomes were assessed at a mean follow-up of 29.6 ± 6.9 months. The postoperative active ROM was measured and compared with the contralateral shoulder. The Rowe, UCLA, and SST scores were administered preoperatively and postoperatively. Results: No patients experienced infections or neuro-vascular injuries. Seven (15%) patients required revision surgery. After surgery, the external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes also improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist.
Keywords: arthroscopy; shoulder instability; trauma; arthroscopic Latarjet; anterior recurrent instability arthroscopy; shoulder instability; trauma; arthroscopic Latarjet; anterior recurrent instability

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MDPI and ACS Style

Castricini, R.; Longo, U.G.; Petrillo, S.; Candela, V.; De Benedetto, M.; Maffulli, N.; Denaro, V. Arthroscopic Latarjet for Recurrent Shoulder Instability. Medicina 2019, 55, 582. https://doi.org/10.3390/medicina55090582

AMA Style

Castricini R, Longo UG, Petrillo S, Candela V, De Benedetto M, Maffulli N, Denaro V. Arthroscopic Latarjet for Recurrent Shoulder Instability. Medicina. 2019; 55(9):582. https://doi.org/10.3390/medicina55090582

Chicago/Turabian Style

Castricini, Roberto, Umile Giuseppe Longo, Stefano Petrillo, Vincenzo Candela, Massimo De Benedetto, Nicola Maffulli, and Vincenzo Denaro. 2019. "Arthroscopic Latarjet for Recurrent Shoulder Instability" Medicina 55, no. 9: 582. https://doi.org/10.3390/medicina55090582

APA Style

Castricini, R., Longo, U. G., Petrillo, S., Candela, V., De Benedetto, M., Maffulli, N., & Denaro, V. (2019). Arthroscopic Latarjet for Recurrent Shoulder Instability. Medicina, 55(9), 582. https://doi.org/10.3390/medicina55090582

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