Thursday, November 3, 2016

Latarjet - a cautionary tale

A coracoid transfer (Latarjet) is preferred by some surgeons to manage recurrent anterior instability. This procedure is not without its risks as demonstrated by the x-rays below taken of the right shoulder of a young man who presented with pain and crepitant after his coracoid transfer. They show loosening and an intrarticular location of two cannulated screws associated with erosion of the inferior humeral head and loss of glenoid bone stock.

Comment: As pointed out in a prior post (see this link), the Latarjet procedure for shoulder instability carries some risk to the  axillary and musculocutaneous nerves, has had a 16% incidence of complications needing reoperation, has had a recurrence rate of 6%, and has had a 20% rate of subsequent arthritis.


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