title: Chronic anterior glenohumeral instability in soccer players: results for a series of 28 shoulders treated with the Latarjet procedure.
abstract: BACKGROUND
  Glenohumeral instability is a common problem in young and active patients. Both open and arthroscopic procedures have proven to be effective options. In cases with large bone defects on the glenoid side or on the humeral head or in contact sports, arthroscopy leads to a high risk of recurrence. We report the results of the modified Latarjet procedure in a population of 26 soccer players affected by chronic anterior instability. To our knowledge there are no previous reports on the results of this procedure when used in a homogeneous group of sportsmen.
  
  
  METHODS
  Twenty-six patients (28 shoulders) were retrospectively reviewed. We analyzed the roles of the players, the levels at which they played, and the average amount of hours that they trained before their injury and after surgery. Moreover, the type of bone loss detected on a preoperative imaging study and its relevance to the patient's sporting comeback was recorded.
  
  
  RESULTS
  Eight-five months after surgery the mean Duplay score was 89.3; most of the players came back to the play at the same sporting level. Ninety-three percent of the patients were happy or very happy with their functional results. One patient underwent a redislocation.
  
  
  CONCLUSIONS
  Our series is the first in the literature to refer to a homogeneous group of soccer players. According to our results, and other series, the Latarjet procedure seems to be the gold standard in the treatment of chronic anterior instability in patients with large bone defects and in sportsmen playing contact sports.
authors: Centre Orthopedique Santy, 24, Avenue Paul Santy, 69008, Lyon, France. simo.red@tiscali.it
authors: Simone
authors: S
authors: Cerciello
authors: Thomas Bradley
authors: TB
authors: Edwards
authors: Gilles
authors: G
authors: Walch
mesh_terms: D000328:Adult; D002908:Chronic Disease; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011182:Postoperative Care; D011859:Radiography; D012008:Recurrence; D012189:Retrospective Studies; D012399:Rotation; D012785:Shoulder Joint / Q000000981:diagnostic imaging; D012916:Soccer / Q000502:physiology; D016896:Treatment Outcome; D055815:Young Adult