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
. 2023 Jul;31(7):2662-2669.
doi: 10.1007/s00167-023-07393-0. Epub 2023 Mar 23.

Latarjet procedure without capsular repair produces favorable clinical results and avoids limitation in external rotation

DooSup Kim  1   2 , Dong-Woo Lee  3 , JaeMin Lee  1 , YoungHwan Jang  4   5
Affiliations

Latarjet procedure without capsular repair produces favorable clinical results and avoids limitation in external rotation

DooSup Kim et al. Knee Surg Sports Traumatol Arthrosc. 2023 Jul.

Abstract

Purpose: This study aimed at analyzing the range of motion (ROM) and other clinical outcomes in patients with > 20% glenoid bone loss who underwent the Latarjet procedure with or without anterior capsule repair.

Methods: This retrospective study included 47 patients with > 20% glenoid bone loss who underwent the classic Latarjet procedure from 2016 to 2021. Of these, 25 did not undergo capsular repair (no-capsular-repair group; group I) whereas 22 patients did (capsular-repair group; group II). The Rowe score, American Shoulder and Elbow Surgeons score, Visual Analogue Scale, ROM, recurrence, and complications were evaluated before and 3, 6, and 12 months after the surgery. A goniometer was used to measure the forward flexion and external rotation (arm adducted, 90° abducted) of both shoulders. The ROM deficit was measured as the difference from the contralateral healthy shoulder.

Results: The external rotation in arm adduction at 3 and 6 months after surgery showed significantly better results in group I than group II(p = 0.002 at 3 months; p = 0.005 at 6 months). The deficit in external rotation with arm adduction was also significantly lower in group I at 3 months (p = 0.001) and 6 months (p = 0.001) after surgery. However, external rotation with arm adduction at 12 months after surgery did not significantly differ between the groups. Moreover, the ROM in external rotation with 90° arm abduction was significantly better in group I than that in group II at 3, 6, and 12 months postoperatively (p = 0.002, p = 0.001, and p = 0.005, respectively). The deficit in external rotation with 90° arm abduction gradually decreased with time after surgery and differed significantly between the groups. However, the difference in deficit between the two groups at 12 months after surgery did not exceed the measurement error. All clinical scores significantly improved after surgery compared to before surgery; however, the improvement did not significantly differ between the two groups.

Conclusion: The Latarjet procedure without capsular repair showed good laxity restoration and clinical results with less early postoperative external rotation limitation than that achieved by the same procedure with capsular repair. However, external rotation deficit at 1 year after surgery did not show a clinically relevant difference difference between the two groups.

Level of evidence: Level III.

Keywords: Capsular repair; Glenoid bone loss; Instability; Latarjet; Range of motion.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Arner JW, Tanghe K, Shields T, Abdelaziz A, Lee S, Peebles L et al (2021) Shoulder Latarjet surgery shows wide variation in reported indications, techniques, perioperative treatment, and definition of outcomes, complications, and failure: a systematic review. Arthroscopy 38(2):522–538. https://doi.org/10.1016/j.arthro.2021.09.020 - DOI - PubMed
    1. Belangero PS, Schmidt Lara PH, Figueiredo EA, Andreoli CV, de Castro PA, Ejnisman B et al (2021) Bristow versus Latarjet in athletes: a prospective randomized comparison. JSES Int 5(2):165–170. https://doi.org/10.1016/j.jseint.2020.11.004 - DOI - PubMed - PMC
    1. Blonna D, Bellato E, Caranzano F, Assom M, Rossi R, Castoldi F (2016) Arthroscopic Bankart repair versus open Bristow-Latarjet for shoulder instability: a matched-pair multicenter study focused on return to sport. Am J Sports Med 44(12):3198–3205. https://doi.org/10.1177/0363546516658037 - DOI - PubMed
    1. Bodine M, Bishai SK, Ball GR, King CN, Wait L, Brannan GD (2022) Arthroscopic Latarjet procedure does not lead to loss of clinically significant external rotation at 0° and 90° of shoulder abduction. JSES Int 6(6):1023–1028. https://doi.org/10.1016/j.jseint.2022.07.013 - DOI - PubMed - PMC
    1. Boileau P, Gendre P, Saliken DJ, Thélu CÉ, Trojani C (2022) Tensioning device increases coracoid bone block healing rates in arthroscopic Latarjet procedure with suture-button fixation. J Shoulder Elbow Surg 31(7):1451–1462. https://doi.org/10.1016/j.jse.2022.01.126 - DOI - PubMed

LinkOut - more resources