The Latarjet procedure is indicated for problematic recurrent shoulder instability when arthroscopic reconstruction is no longer feasible due to glenoid bone deficiency, or when previous repair has failed. I have used this procedure effectively for both indications, and have attached relevant articles and informative videos below, as well as a patient attestation from my practice, and arthroscopic images.
Though this procedure is not uncommonly performed as the preferred "first option" in France for anterior shoulder instability, I recommend that it be reserved for cases of glenoid bone loss or when arthroscopic repair has failed. This procedure requires an incision and takes approximately 2 hours to perform.
It's success revolves around 3 features: 1. augmentation of articular surfce of the glenoid via transfer of the coracoid process; 2. a dynamic sling effect of the inferior subscapularis tendon, created by the transfer of the coracoid and its attached coracobrachialis and short head of biceps tendons; and 3. repair of the anterior capsule to the coracoacromial ligament.
Though this procedure is not uncommonly performed as the preferred "first option" in France for anterior shoulder instability, I recommend that it be reserved for cases of glenoid bone loss or when arthroscopic repair has failed. This procedure requires an incision and takes approximately 2 hours to perform.
It's success revolves around 3 features: 1. augmentation of articular surfce of the glenoid via transfer of the coracoid process; 2. a dynamic sling effect of the inferior subscapularis tendon, created by the transfer of the coracoid and its attached coracobrachialis and short head of biceps tendons; and 3. repair of the anterior capsule to the coracoacromial ligament.
