One step arthroscopically assisted Latarjet and posterior bone-block, for recurrent posterior instability and anterior traumatic dislocation.
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.
Department of Shoulder Surgery, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy.
Riccardo
R
D'Ambrosi
Department of Shoulder Surgery, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy.
Carlo
C
Perfetti
Department of Surgery, Upper Limb Unit, OBV, Mendrisio, Switzerland.
Guido
G
Garavaglia
Department of Shoulder Surgery, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy ; Department of Surgery, Upper Limb Unit, OBV, Mendrisio, Switzerland.
Ettore
E
Taverna
Arthroscopically assisted Latarjet; bone-block; glenoid bone loss; multidirectional instability