title: Technical guide and tips on the all-arthroscopic Latarjet procedure.
abstract: Shoulder dislocation and subsequent anterior instability is a common problem in young athletes. The arthroscopic Bankart repair was originally described by Morgan et al. in 1987. The procedure has benefited from many technical advancements over the past 25 years and currently remains the most commonly utilized procedure in the treatment of anterior glenohumeral instability without glenoid bone loss. Capsulolabral repair alone may not be sufficient for treatment of patients with poor capsular tissue quality and significant bony defects. In the presence of chronic anterior glenoid bony defects, a bony reconstruction should be considered. The treatment of anterior shoulder instability with transfer of the coracoid and attached conjoint tendon such as the Latarjet procedure has provided reliable results. The arthroscopic Latarjet procedure was described in 2007 by the senior author, who has now performed the procedure over 450 times. The initial surgical technique has evolved considerably since its introduction, and this article presents a comprehensive update on this demanding but well-defined procedure. This article reviews technical tips to help the surgeon perform the surgery more smoothly, navigate through challenging situations, and avoid potential complications. Level of evidence V.
authors.affiliation: Department of Orthopaedic Surgery, ALPS Surgery Institute, Clinique Générale, Annecy, France. Claudio.Rosso@unibas.ch.|Orthopaedic Department, University Hospital Basel and University of Basel, Basel, Switzerland. Claudio.Rosso@unibas.ch.
authors.forename: Claudio
authors.initials: C
authors.lastname: Rosso
authors.affiliation: Department of Orthopaedic Surgery, ALPS Surgery Institute, Clinique Générale, Annecy, France.
authors.forename: Vito
authors.initials: V
authors.lastname: Bongiorno
authors.affiliation: Department of Orthopaedic Surgery, ALPS Surgery Institute, Clinique Générale, Annecy, France.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Samitier
authors.affiliation: Department of Orthopaedic Surgery and Sports Medicine, University of South Carolina School of Medicine, Columbia, SC, USA.
authors.forename: Guillaume D
authors.initials: GD
authors.lastname: Dumont
authors.affiliation: Department of Orthopaedic Surgery, ALPS Surgery Institute, Clinique Générale, Annecy, France.
authors.forename: Gregor
authors.initials: G
authors.lastname: Szöllösy
authors.affiliation: Department of Orthopaedic Surgery, ALPS Surgery Institute, Clinique Générale, Annecy, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Lafosse
mesh_terms: D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D012540:Scapula; D012783:Shoulder Dislocation / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*
keywords: Arthroscopic; Arthroscopy; Bony defect; Glenoid bone loss; Instability; Latarjet; Shoulder dislocation; Stabilization