Management of Recurrent Anterior Shoulder Dislocation with Glenoid Bone Deficiency

Objective: To assess the results of patients treated for recurrent anterior shoulder dislocation with glenoid bone deficiency by using the Latarjet procedure.

Methods: This is a retrospective study done in the period between April 2014 till February 2016 at the Jordanian Royal Medical Services (JRMS). Thirty patients with recurrent traumatic anterior shoulder dislocation who underwent surgical treatment with modified Latarjet technique were included in the study. Patients were questioned about satisfaction, range of motion and its effect on daily life and were examined for stability and range of motion and complications if present.

Result: 21 patients 96.6% were satisfied of the surgery with no experience of redislocation. One patient 3.3% was not satisfied because of axillary nerve injury. Four patients 13.3% had a limitation of external rotation ranging from 5-15 degree. All patients returned to their level of activity at three months except the one with nerve injury fortunately he was improving.

Conclusion: The Modified Latarjet procedure is an effective technique for the treatment of recurrent anterior shoulder dislocation particularly associated glenoid bone loss.

Keywords: Latarjet procedure; Hillsachs lesion; Glenoid deficiecny shoulder dislocation