| Autor: |
McHale KJ; Penn Orthopaedics, Cape Regional Medical Center, Cape May Court House, New Jersey, U.S.A., Sanchez G; Steadman Philippon Research Institute, Vail, Colorado, U.S.A., Lavery KP; North County Orthopaedics, Leominster, Massachusetts, U.S.A., Rossy WH; Princeton Orthopaedic Associates, Princeton, New Jersey, U.S.A., Sanchez A; Jackson Memorial Hospital, Miami, Florida, U.S.A., Ferrari MB; Steadman Philippon Research Institute, Vail, Colorado, U.S.A., Provencher MT; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A. |
| Abstrakt: |
Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Nonoperative management and arthroscopic treatment of glenohumeral instability have been associated with high rates of recurrence, particularly in the setting of glenohumeral osseous defects. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 20% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency. The following Technical Note provides a diagnostic approach for suspected glenohumeral instability, as well as a detailed description of the congruent-arc Latarjet procedure, performed with a deltoid split, with its postoperative management. |
