Coracoid Fracture Following Latarjet Failure A Case Report.
The Latarjet procedure involves the transfer of the coracoid process with its soft tissue attachments, thereby providing both bony and soft tissue articular reinforcement for glenohumeral stabilization. Most studies show positive outcomes with this procedure and complications at rates as low as 1%, predominately secondary to technical error. We present a case of recurrent anterior instability after two attempts at soft tissue stabilization (arthroscopic labral repair followed by open inferior capsular shift) in which an open Latarjet procedure was performed followed by subsequent revision secondary to coracoid autograft fracture. The case presented specifically highlights the need to appropriately identify the "bony margins" of the coracoid prior to drilling to make certain that drill holes are not eccentrically placed.
Brian
B
Capogna
William E
WE
Ryan
Alan W
AW
McGee
Laith M
LM
Jazrawi
D016025:Bone Transplantation / Q000009:adverse effects*; D000070597:Coracoid Process / Q000000981:diagnostic imaging / Q000293:injuries* / Q000637:transplantation; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery*; D020069:Shoulder Pain / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D017211:Treatment Failure