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. 2024 Jan;34(1):633-639.
doi: 10.1007/s00590-023-03703-x. Epub 2023 Sep 5.

Latarjet in women for anterior shoulder instability: a case series analysis

Kenza Limam  1   2 , Hugo Barret  1   2 , Mathieu Girard  1   2 , Romain Letartre  3 , Pierre Mansat  1   2 , Nicolas Bonnevialle  4   5
Affiliations

Latarjet in women for anterior shoulder instability: a case series analysis

Kenza Limam et al. Eur J Orthop Surg Traumatol. 2024 Jan.

Abstract

Purpose: The Latarjet procedure is traditionally used to treat chronic anterior shoulder instability associated with glenoid bone loss. However, few series have analyzed outcomes in a female-only population. The objective of this study was to evaluate the clinical and radiological outcomes of a Latarjet bone block in this specific population.

Methods: This single-center retrospective study included 15 women (mean age 35 ± 11.3; 19-60) reviewed with a minimum follow-up of 2 years. The procedure was performed using the open bone block screw technique (n = 7) or by arthroscopy with cortical button (n = 8). Clinical evaluation was based on active range of motion measurements, Rowe and Walch-Duplay scores, and subjective shoulder value (SSV). Radiographic analysis explored bone block healing at the last follow-up.

Results: At a mean follow-up of 48 months (32-86), no recurrence was reported. The mean Rowe score was 91 points (70-100), Walch-Duplay 90 points (60-100), and SSV 87% (70-100). The active mobilities reached 169° (± 9°) in elevation, 57° (± 15°) in external rotation at side, and 89° (± 6°) in abduction. The return-to-sport rate was 91%. Five patients experienced persistent anterior pain, with screws requiring hardware removal in 2 (p = 0.02). Radiological assessment detected one case of nonunion (7%).

Conclusion: Women treated with the Latarjet procedure experienced satisfactory midterm clinical outcomes. The arthroscopic technique using cortical button fixation seems to avoid residual anterior pain requiring hardware removal.

Keywords: Anterior shoulder instability; Arthroscopic Latarjet; Bone block; Latarjet; Shoulder instability; Women.

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