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Recurrent anterior shoulder instability: a review of the Latarjet procedure and its postoperative rehabilitation
Journal article   Peer reviewed

Recurrent anterior shoulder instability: a review of the Latarjet procedure and its postoperative rehabilitation

Catherine J. Fedorka and Mary K. Mulcahey
The Physician and sportsmedicine, v 43(1), pp 73-79
01 Feb 2015
PMID: 25598036

Abstract

General & Internal Medicine Life Sciences & Biomedicine Orthopedics Primary Health Care Science & Technology Sport Sciences
The shoulder is the most common joint to dislocate in the human body, with the dislocation often occurring in the anterior direction. This injury frequently results in soft tissue injury (eg, labral tear, capsular stretching) or bone injury (eg, glenoid or humeral head bone loss), which commonly leads to persistent deficits of shoulder function and a high risk of subsequent instability episodes in young, active patients. Patients with a significant degree of glenoid bone loss (> 25%) may require surgical intervention using the Latarjet procedure, which is an open bony augmentation of the glenoid. This procedure involves transferring the tip of the coracoid to the anteroinferior glenoid, creating a bony block and musculotendinous sling to prevent instability. Rehabilitation after the procedure is a slow progression over 4 to 6 months to regain range of motion and strength, while protecting the bony augmentation. Recent reports have shown success with the Latarjet procedure, as indicated by patient satisfaction scores and a low rate of recurrent instability.

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Web of Science research areas
Orthopedics
Primary Health Care
Sport Sciences
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