Latarjet shoulder surgery by mini-open technique: Current concepts
DOI:
https://doi.org/10.1016/j.rccot.2015.04.001Keywords:
shoulder dislocation, joint instability, shoulder joint/surgery, orthopedic procedures/methodsAbstract
The incidence of traumatic shoulder instability is 1.7% in the general population. The shoulder bone structure provides inherent instability to the joint. The surgeon must study the patient age, dominance and activity, as well as the number and direction of the dislocations, and finally the general conditions of the soft tissues. Initial radiographs include anteroposterior and axillary or Velpeau view, in case of bone injury an AP internal rotation and Stryker view or axillary view should be taken. Magnetic Resonance Imaging allows the study of associated soft tissue injuries. It has been described a number of surgical treatments for recurrent shoulder instability, nevertheless, arthroscopic Bankart repair is the most used. An anterior glenoid defect has been reported in 90% of cases with recurrent anterior shoulder instability. This kind of injuries might require other treatment methods such as transferring the coracoid process, which works by the so called triple lock concept. This surgery is also indicated in cases of glenoid bone defect and subscapularis rupture. The surgical technique has proved to be reproducible through the years and the rehabilitation process is rapid allowing an early return to sports. Complications are mostly secondary to technical mistakes. Recent studies report 96% of satisfaction with only 1% of patients requiring revision surgery. However, it is considered that there is insufficient evidence to consider Latarjet’s technique a better technique, despite of better results reported when comparing subjective assessment of mobility, stability and so far by subjective functional tests.
Evidence level: IV
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References
Lippit S, Matsen F. Mechanisms of glenohumeral joint stability. Clin Orthop Relat Res. 1993;291:20-8. https://doi.org/10.1097/00003086-199306000-00004
Lembeck B, Wulker N. Open procedures for shoulder instability. Curr Orthop. 2004;18:169-80. https://doi.org/10.1016/j.cuor.2004.02.003
Dumont G. Anterior shoulder instability: a review of pathoanatomy, diagnosis and treatment. Curr Rev Musculoskelet Med. 2011;4:200-7. https://doi.org/10.1007/s12178-011-9092-9
Thomazeau H, Courage O, Barth J, Pélégri C, Charousset F, Lespagnol F, et al. Can we improve the indication for Bankart arthroscopic repair? A preliminary clinical study using the ISI score. Orthop Traumatol Surg Res. 2010;96S:S77-83. https://doi.org/10.1016/j.otsr.2010.09.007
Balg F, Boileau P. The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilization. J Bone Joint Surg Br. 2007;89:1470-7. https://doi.org/10.1302/0301-620X.89B11.18962
Safran O, Milgrom C, Radeva-Petrova DR, Jaber S, Finestone A. Accuracy of the anterior apprehension test as a predictor of risk for redislocation after a first traumatic shoulder dislocation. Am J Sport Med. 2010;38(5):972-5. https://doi.org/10.1177/0363546509357610
Pavlov H, Warren RF. The roentgenographic evaluation of anterior shoulder instability. Clin Orthop Relat Res. 1985;194:153-8. https://doi.org/10.1097/00003086-198504000-00020
Boileau P, Balg G. Quelles limites pour le Bankart arthroscopique? Intérêt d'un score pronostique préopératoire: le score ISIS (Instability Severity Index Score). MO. 2008;174:1.
Edwards TB, Boulahia A, Walch G. Radiographic analysis of bone defects in chronic anterior shoulder instability. Arthroscopy. 2003;19(7):732-9. https://doi.org/10.1016/S0749-8063(03)00684-4
Malhotra A, Freudmann M, Hay S. Management of traumatic anterior shoulder dislocation in the 17 to 25 year age group: a dramatic evolution of practice. J Shoulder Elbow Surg. 2012;21(4):545-53. https://doi.org/10.1016/j.jse.2011.01.006
Lo IK, Parten PM, Burkhart SS. The inverted pear glenoid: an indicator of significant glenoid bone loss. Arthroscopy. 2004;20(2):169-74. https://doi.org/10.1016/j.arthro.2003.11.036
Paterson WH, Throckmorton TW, Koester M, Azar FM, Kuhn JE. Position and duration of immobilization after primary anterior shoulder dislocation: a systematic review and meta-analysis of the literature. J Bone Joint Surg Am. 2010;92(18):2924-33. https://doi.org/10.2106/JBJS.J.00631
Pollock RG, Bigliani LU. Glenohumeral instability: evaluation and treatment. J Am Acad Orthop Surg. 1993;1(1):24-32. https://doi.org/10.5435/00124635-199309000-00004
Finestone A, Milgrom C, Radeva-Petrova DR, Rath E, Barchilon V, Beyth S, Jaber S, Safran O. Bracing in external rotation for traumatic anterior dislocation of the shoulder. J bone Joint Surg Br. 2009;91(7):918-21. https://doi.org/10.1302/0301-620X.91B7.22263
Van Tongel A, Rosa F, Heffernan G, Levy O, Sforza G. Long-term result after traumatic anterior shoulder dislocation: what works best? Musculoskelet Surg. 2011;95 Suppl 1:S65-70. https://doi.org/10.1007/s12306-011-0125-8
Marans HJ, Angel KR, Schemitsch EH, Wedge JH. The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am. 1992;74(8):1242-4. https://doi.org/10.2106/00004623-199274080-00015
Law BK, Yung PS, Ho EP, Chang JJ, Chan KM. The surgical outcome of immediate arthroscopic Bankart repair for first time anterior shoulder dislocation in young active patients. Knee Surg Sports Traumatol Arthrosc. 2008;16(2):188-93. https://doi.org/10.1007/s00167-007-0453-2
Spoor A, de Waal Malefijt. Long term results and arthropathy following the modified Bristow-Latarjet procedure. Int Orthop (SICOT). 2005;29:265-7. https://doi.org/10.1007/s00264-005-0634-x
Bankart ASB. Recurrent or habitual dislocation of the shoulder joint. Br Med J. 1923;2:1132-3. https://doi.org/10.1136/bmj.2.3285.1132
Bottoni Cr, Smith EL, Berkowitz MJ, Towle RB, Moore JH. Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med. 2006;34:1730-7. https://doi.org/10.1177/0363546506288239
Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD. Arthroscopic vs open treatment of Bankart lesion of the shoulder: a prospective randomized study. Arthroscopy. 2004;20:456-62. https://doi.org/10.1016/j.arthro.2004.03.001
Lusardi DA, Wirth MA, Wurtz D, Rockwood CA Jr. Loss of external rotation following anterior capsulorrhaphy of the shoulder. J Bone Joint Surg Am. 1993;75(8):1185-92. https://doi.org/10.2106/00004623-199308000-00008
Hobby J, Griffin D, Dunbar M, Boileau P. Is arthroscopic surgery for stabilization of cronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. J Bone Joint Surg Br. 2007;89(9):1188-96. https://doi.org/10.1302/0301-620X.89B9.18467
Patte D, Bernageau J, Bancel P. The anteroinferior vulnerable point of the glenoid rim. En: Bateman JE, Welch RP, editores. Surgery of the shoulder. New York: Marcel Dekker; 1985. p. 94-9.
Dossim A, Abalo A, Dosseh Songne B, Ayite A, Gnandi-Pio F. Traitement des instabilités antérieures de l'épaule par la technique de Bristow-Latarjet: résultats cliniques et radiologiques au recul moyen de 8,2 ans. Chir Main. 2008;27:26-30. https://doi.org/10.1016/j.main.2008.01.001
Clavert P, Lutz JC, Wolfram-Gabel R, Kempf JF, Kahn J. Relationships of the musculocutaneous nerve and the coracobrachialis during coracoid abutment procedure (Latarjet procedure). Surg Radiol Anat. 2009;31:49-53. https://doi.org/10.1007/s00276-008-0426-2
Helfet AJ. Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br. 1958;40:198-202. https://doi.org/10.1302/0301-620X.40B2.198
Burkhart S, De Beer J. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: Significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy. 2000;16:677-94. https://doi.org/10.1053/jars.2000.17715
Itoi E, Lee SB, Berge LL, An KN. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am. 2000;82:35-46. https://doi.org/10.2106/00004623-200001000-00005
Bigliani LU, Newton PM, Steinmann SP, Connor PM, Mcllveen SJ. Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder. Am J Sports Med. 1998;26(1):41-5. https://doi.org/10.1177/03635465980260012301
Gerber C, Nyffeller RW. Classification of glenohumeral joint instability. Clin Orthop Relat Res. 2002;400:65-76. https://doi.org/10.1097/00003086-200207000-00009
Ji JH, Kwak DS, Yang PS, Kwon M, Han SH, Jeong JJ. Comparisons of glenoid bony defects between normal cadaveric specimens and patients with recurrent shoulder dislocation: an anatomic study. J Shoulder Elbow Surg. 2012;21(6):822-7. https://doi.org/10.1016/j.jse.2011.10.016
Huijsmans P, Bas de Witte P, de Villiers R, Wolterbeek D, Warmerdam P, Kruger N, De Beer J. Recurrent anterior shoulder instability: accuracy of estimations of glenoid bone loss with computed tomography is insufficient for therapeutic decisionmaking. Skeletal Radiol. 2011;40:1329-34. https://doi.org/10.1007/s00256-011-1184-5
Hovelius L, Sandström B, Olofsson A, Svensson O, Rahme H. The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (Study III): long-term follow-up in 319 shoulders. J Shoulder Elbow Surg. 2012;21:647-60. https://doi.org/10.1016/j.jse.2011.03.020
Latarjet M. À propos du traitement des luxations récidivantes de l'épaule. Lyon Chir. 1954;49:994-7.
Mahirogullari M, Kuskucu M, Solakoglu C, Akmaz I, Pehlivan O, Kiral A, et al. Comparison of outcomes of two different surgeries in regarding to complications for chronic anterior shoulder instability. Arch Orthop Trauma Surg. 2006;126:674-9. https://doi.org/10.1007/s00402-006-0190-x
May VA. Modified Bristow operation for anterior recurrent dislocation of the shoulder. J Bone Joint Surg Am. 1970;52:1010-6. https://doi.org/10.2106/00004623-197052050-00015
Hovelius L, Saeboe M. Arthropathy after primary anterior shoulder dislocation-223 shoulders prospectively followed up for twenty-five years. J Shoulder Elbow Surg. 2009;18(3): 339-47. https://doi.org/10.1016/j.jse.2008.11.004
Wellmann M, de Ferrari H, Smith T, Petersen W, Siebert CH, Agneskirchner JD, et al. Biomechanical investigation of the stabilization principle of the Latarjet procedure. Arch Orthop Trauma Surg. 2012;132:377-86. https://doi.org/10.1007/s00402-011-1425-z
Wellmann M, Petersen W, Zantop T, Herbort M, Kobbe P, Raschke MJ, et al. Open shoulder repair of osseous glenoid defects: biomechanical effectiveness of the Latarjet procedure versus a contoured structural bone graft. Am J Sports Med. 2009;37(1):87-94. https://doi.org/10.1177/0363546508326714
Burkhart S, De Beer J, Barth J, Criswell T, Roberts C, Richards D. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy. 2007;23(10):1033-41. https://doi.org/10.1016/j.arthro.2007.08.009
Béguin L. Luxations volontaires et involontaires de lépaule. ' Revue Rhum Monog. 2010;77:186-90. https://doi.org/10.1016/j.monrhu.2010.04.016
Randelli P, Taverna E. Primary anterior shoulder dislocation in young athletes: fix them! Knee Surg Sports Traumatol Arthrosc. 2009;17:1404-5. https://doi.org/10.1007/s00167-009-0950-6
Castagna A, Garofalo R, Melito G, Markopoulos N, De Giorgi S. The role of arthroscopy in the revision of failed Latarjet procedures. Musculeskelet Surg. 2010;94 Suppl 1:S47-55. https://doi.org/10.1007/s12306-010-0060-0
Hovelius L, Sandström B, Sundren K, Saebö M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study II-The evolution of dislocation arthropathy. J Shoulder Elbow Surg. 2006;15(3):279-89. https://doi.org/10.1016/j.jse.2005.09.014
Shah A, Butler B, Romanowski J, Goel D, Karadagli D, Warner J. Short-term complications of the Latarjet procedure. J Bone Joint Surg Am. 2012;94:495-501. https://doi.org/10.2106/JBJS.J.01830
Allain J, Goutallier D, Glorion C. Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am. 1998;80:841-52. https://doi.org/10.2106/00004623-199806000-00008
Cassagnaud X, Maynou C, Mestdagh H. Résultats cliniques et tomodensitométriques d'une série continue de 106 butées de Latarjet-Patte au recul moyen de 7,5 ans. Rev Chir Orthop Reparatrice Appar Mot. 2003;89:683-92.
Hovelius L, Korner L, Lundberg B, Akermark C, Herberts P, Wredmark T, Berg E. The coracoid transfer for recurrent dislocation of the shoulder: Technical aspects of the Bristow-Latarjet procedure. J Bone Joint Surg Am. 1983;65:926-34. https://doi.org/10.2106/00004623-198365070-00007
Scheibel M, Nikulka C, Dick A, Schroeder R, Gerber A. Autogenous bone grafting for chronic anteroinferior glenoid defects via a complete subscapularis tenotomy approach. Arch Orthop Trauma Surg. 2008;128:1317-25. https://doi.org/10.1007/s00402-007-0560-z
Marchaland JP, Bures C, Versier G, Danguy des Déserts M, Rigal S. Ĺabord du subscapularis dans les butées coracoïdiennes, Étude rétrospective de 70 cas. Science Sports. 2003;18:86-92. https://doi.org/10.1016/S0765-1597(03)00085-6
Gazielly D. Résultats des butées antérierures coracoïdiennes opérées en 1995 à propos de 89 cas. Rev Chir Orthop Reparatrice Appar Mot. 2000;86 suppl 1:103-6.
Ho E, Cofield R, Balm M, Haltrup S, Rowland C, Minn R, et al. Neurologic complications of surgery for anterior shoulder instability. J Shoulder Elbow Surg. 1999;8(3):266-70. https://doi.org/10.1016/S1058-2746(99)90140-4
Southam J, Greis P. Delayed, transient musculocutaneous nerve palsy after the Latarjet procedure. J Shoulder Elbow Surg. 2011:e1-4
Lädermann A, Denard J, Burkhart S. Injury of the suprascapular nerve during Latarjet procedure: an anatomic study. Arthroscopy. 2012;28(3):316-21. https://doi.org/10.1016/j.arthro.2011.08.307
Maqueira G, Gerber C, Schneeberger A. Suprascapular nerve palsy after the Latarjet procedure. J Shoulder Elbow Surg. 2007;16(2):e13-5. https://doi.org/10.1016/j.jse.2006.04.001
Artz T, Huffer JM. A major complication of the modified Bristow procedure for recurrent dislocation of the shoulder: a case report. J Bone Joint Surg. 1972;54(A):1293-6. https://doi.org/10.2106/00004623-197254060-00023
Hovelius L, Sandström B, Sundren K, Saebö M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study I-Clinical results. J Shoulder Elbow Surg. 2004;13(5):509-16. https://doi.org/10.1016/j.jse.2004.02.013
Emami M, Solooki S, Meshksari Z, Vosoughi A. The effect of open Bristow-Latarjet procedure for anterior shoulder instability: a 10-years study. Musculoskelet Surg. 2011;95:231-5. https://doi.org/10.1007/s12306-011-0149-0
Schmid S, Farshad M, Catanzaro S, Gerber C. The Latarjet procedure for the treatment of recurrence of anterior instability of the shoulder after operative repair. J Bone Joint Surg Am. 2012;94(e75):1-7. https://doi.org/10.2106/JBJS.K.00380
Beran M, Donaldson C, Bishop J. Treatment of chronic glenoid defects in the setting of recurrent anterior shoulder instability: A systematic review. J Shoulder Elbow Surg. 2010;19:769-80. https://doi.org/10.1016/j.jse.2010.01.011
Hovelius L, Vikerfors O, Olofsson A, Svensson O, Rahme H. Bristow-Latarjet and Bankart: a comparatives study of shoulder stabilization in 185 shoulders during a seventeen-year followup. J Soulder Elbow Surg. 2011;20:1095-101. https://doi.org/10.1016/j.jse.2011.02.005
Nourrissat G, Nedellec G, O'Sullivan N, Debet-Mejean A, Dumontier C, Sautet A, et al. Mini-open arthroscopically assisted Bristow-Latarjet procedure for the treatment of patients with anterior shoulder instability: A cadaver study. Artrhoscopy. 2006;22(10):1113-8. https://doi.org/10.1016/j.arthro.2006.06.016
Iftikhar TB, Kaminski RS, Silva I Jr. Neurovascular complications of the modified Bristow procedure. J Bone Joint Surg. 1984;66(A):951-2. https://doi.org/10.2106/00004623-198466060-00017
Chalidis B, Sachinis N, Dimitriou C, Papadopoulos P, Samoladas E, Pournaras J. Has the management of shoulder dislocation changed over time. Int Orthop. 2007;31:385-9. https://doi.org/10.1007/s00264-006-0183-y
Brophy RH, Marx RG. The treatment of traumatic anterior instability of the shoulder: non operative and surgical treatment. Arthroscopy. 2009;25:298-304. https://doi.org/10.1016/j.arthro.2008.12.007
Handoll HHG, Almaiyah MA. Surgical versus non-surgical treatment for acute anterior shoulder dislocation. Cochrane Database Syst Rev. 2004;(1):CD004325. https://doi.org/10.1002/14651858.CD004325
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