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. 2012 Dec;13(4):197-202.
doi: 10.1007/s10195-012-0201-3. Epub 2012 Jul 1.

Chronic anterior glenohumeral instability in soccer players: results for a series of 28 shoulders treated with the Latarjet procedure

Simone Cerciello  1 , Thomas Bradley Edwards, Gilles Walch
Affiliations

Chronic anterior glenohumeral instability in soccer players: results for a series of 28 shoulders treated with the Latarjet procedure

Simone Cerciello et al. J Orthop Traumatol. 2012 Dec.

Abstract

Background: Glenohumeral instability is a common problem in young and active patients. Both open and arthroscopic procedures have proven to be effective options. In cases with large bone defects on the glenoid side or on the humeral head or in contact sports, arthroscopy leads to a high risk of recurrence. We report the results of the modified Latarjet procedure in a population of 26 soccer players affected by chronic anterior instability. To our knowledge there are no previous reports on the results of this procedure when used in a homogeneous group of sportsmen.

Materials and methods: Twenty-six patients (28 shoulders) were retrospectively reviewed. We analyzed the roles of the players, the levels at which they played, and the average amount of hours that they trained before their injury and after surgery. Moreover, the type of bone loss detected on a preoperative imaging study and its relevance to the patient's sporting comeback was recorded.

Results: Eight-five months after surgery the mean Duplay score was 89.3; most of the players came back to the play at the same sporting level. Ninety-three percent of the patients were happy or very happy with their functional results. One patient underwent a redislocation.

Conclusions: Our series is the first in the literature to refer to a homogeneous group of soccer players. According to our results, and other series, the Latarjet procedure seems to be the gold standard in the treatment of chronic anterior instability in patients with large bone defects and in sportsmen playing contact sports.

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Figures

Fig. 1
Fig. 1
The presence of a large Hill–Sachs lesion is well detected in internal rotation and is an indication for the open Latarjet procedure
Fig. 2
Fig. 2
Bernageau view shows the exact anterior contour of the glenoid socket. Blunted angle sign refers to the loss of the sharp profile of the anteroinferior glenoid rim
Fig. 3
Fig. 3
Postoperative X-ray control: AP view (a) and Bernageau view (b), showing that the graft has perfect positioning, with no overhang into the joint
See this image and copyright information in PMC

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