Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Jun;37(6):1093-8.
doi: 10.1007/s00264-013-1848-y. Epub 2013 Mar 13.

Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study

Alexandre Lädermann  1 , Anne Lubbeke, Richard Stern, Grégory Cunningham, Vittorio Bellotti, Dominique F Gazielly
Affiliations

Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study

Alexandre Lädermann et al. Int Orthop. 2013 Jun.

Abstract

Purpose: The purpose of this study was to analyse the long-term incidence of dislocation arthropathy after a modified Latarjet procedure for glenohumeral instability.

Methods: Long-term follow-up information was obtained from a consecutive series of patients who had undergone a modified Latarjet procedure by one surgeon between 1986 and 1999. Multivariable regression analysis was performed to examine the relation between the development of a dislocation arthropathy and patients and surgery-related factors.

Results: There were 117 patients (117 shoulders) for evaluation, (35 women and 82 men) with a mean age 28.4 ± 8.5 (range, 16-55). The mean follow-up was 16.2 years (range, ten to 22.2 years). Signs of dislocation arthropathy were found in 36 % of patients, graded as Samilson 1 in 30 %, Samilson 2 in 3 %, and 3 % Samilson 3 in 3 % of patients. Risk factors for dislocation arthropathy included surgery in patients older than 40 years of age (64.3 vs. 34.4 %; adjusted RR 2.2, 95 % CI 1.7-2.9) and lateral positioning of the transferred coracoid process in relation to the glenoid rim (82.4 vs. 30.4 %; adjusted RR 2.3, 95 % CI 1.7-3.2). Patients with hyperlaxity developed less dislocation arthropathy (15 vs. 42.5 %; adjusted RR 0.4, 95 % CI 0.1-0.95).

Conclusion: The development of dislocation arthropathy after the Latarjet procedure remains a source of concern in the long term. It correlates with surgery after the age of 40 and lateral coracoid transfer in relation to the glenoid rim. On the other hand, hyperlaxity seems to have a protective effect on the development of dislocation arthropathy.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
The coracoid and glenoid have been drilled using 4.5- and 3.2-mm drill bits, respectively. The coracoid graft is secured to the anterior glenoid by means of a 4.5-mm screw and washer
Fig. 2
Fig. 2
Samilson 1 (a), 2 (b) and 3 (c) dislocation arthropathy was found in 30 %, 3 % and 3 % of cases, respectively
See this image and copyright information in PMC

References

    1. Latarjet M. Treatment of recurrent dislocation of the shoulder. Lyon Chir. 1954;49:994–997. - PubMed
    1. Helfet AJ. Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br. 1958;40-B(2):198–202. - PubMed
    1. May VR., Jr A modified Bristow operation for anterior recurrent dislocation of the shoulder. J Bone Joint Surg Am. 1970;52(5):1010–1016. - PubMed
    1. Young AA, Maia R, Berhouet J, Walch G. Open Latarjet procedure for management of bone loss in anterior instability of the glenohumeral joint. J Shoulder Elbow Surg. 2011;20(2 Suppl):S61–S69. doi: 10.1016/j.jse.2010.07.022. - DOI - PubMed
    1. Burkhart SS, De Beer JF, Barth JR, Cresswell T, Roberts C, Richards DP. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy. 2007;23(10):1033–1041. doi: 10.1016/j.arthro.2007.08.009. - DOI - PubMed

MeSH terms