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. 2023 Apr 24;94(2):e2023022.
doi: 10.23750/abm.v94i2.12564.

Anterior shoulder instability: comparison between Latarjet open procedure and arthroscopic capsuloplasty

Eugenio Vecchini  1 , Matteo Ricci  2 , Jacopo Chiappi  3 , Carlo Ambrosini  4 , Giacomo Fasoli  5 , Beatrice Crespan  6 , Tommaso Maluta  7 , Bruno Magnan  8
Affiliations

Anterior shoulder instability: comparison between Latarjet open procedure and arthroscopic capsuloplasty

Eugenio Vecchini et al. Acta Biomed. .

Abstract

Background: Latarjet surgery and capsuloplasty are both valid alternatives for the treatment of anterior shoulder instability with limited glenoid bone loss, although in literature there is extensive discussion on it. The purpose of this study was to compare the outcomes of these procedures in patients with similar lesions.

Methods: Between January 2000 to October 2020, 59 nonconsecutive patients suffering from anterior shoulder instability were treated, 33 had arthroscopic capsuloplasty (Group 1) and 26 had open Latarjet procedure (Group 2). The Group 1 was composed by 12% of female and 88% of males with the mean age at surgery 25.6 +/- 9.07 (15-49 years). In the Group 2, the 100% of patients were males with mean age 32.42 +/- 10.74 (16-56). Rowe Score, UCLA score and WOSI score were used to test patients.

Results: Only UCLA (average was 22.18 ± 6.13 for the Capsuloplasty and 26.76 ± 6.57 in the Latarjet, p = 0.01) and ROWE scores (average was 70.15 ± 24.75 in Latarjet and 50.15 ± 24.70 in Capsuloplasty, p = 0.002) showed a statistically significant difference between the two procedures, while the WOSI (mean results of Latarjet 0.31 ± 0.16 against 0.24 ± 0.09 of the capsuloplasty, p = 0.069) there was no significant difference between the two groups in question.

Conclusions: Apparently, the Latarjet surgery is better in terms of instability recurrence compared to capsuloplasty but has higher rate of shoulder joint osteoarthtritis. However, there are no significant differences that could decree which procedure is better. (www.actabiomedica.it).

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article.

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References

    1. Getz CL, Joyce CD. Arthroscopic Latarjet for Shoulder Instability. Orthop Clin North Am. 2020;51(3):373–381. doi:10.1016/j.ocl.2020.02.002. - PubMed
    1. Murray IR, Goudie EB, Petrigliano FA, Robinson CM. Functional anatomy and biomechanics of shoulder stability in the athlete. Clin Sports Med. 2013;32(4):607–624. doi:10.1016/j.csm.2013.07.001. - PubMed
    1. Warby SA, Watson L, Ford JJ, Hahne AJ, Pizzari T. Multidirectional instability of the glenohumeral joint: Etiology, classification, assessment, and management. J Hand Ther. 2017;30(2):175–181. doi:10.1016/j.jht.2017.03.005. - PubMed
    1. Guerrero P, Busconi B, Deangelis N, Powers G. Congenital instability of the shoulder joint: assessment and treatment options. J Orthop Sports Phys Ther. 2009;39(2):124–134. doi:10.2519/jospt.2009.2860. - PubMed
    1. Varacallo M, Musto MA, Mair SD. Anterior Shoulder Instability. In: StatPearls. StatPearls Publishing; 2021. Accessed November 14, 2021. http://www.ncbi.nlm.nih.gov/books/NBK538234/ - PubMed