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Latarjet

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https://www.readbyqxmd.com/read/28894758/the-latarjet-procedure-at-the-national-football-league-scouting-combine-an-imaging-and-performance-analysis
#1
George F LeBus, Jorge Chahla, George Sanchez, Ramesses Akamefula, Gilbert Moatshe, Alexandra Phocas, Mark D Price, James M Whalen, Robert F LaPrade, Matthew T Provencher
BACKGROUND: The Latarjet procedure is commonly performed in the setting of glenoid bone loss for treatment of recurrent anterior shoulder instability; however, little is known regarding the outcomes of this procedure in elite American football players. PURPOSE: (1) Determine the prevalence, clinical features, and imaging findings of elite college football athletes who present to the National Football League (NFL) Combine with a previous Latarjet procedure and (2) describe these athletes' performance in the NFL in terms of draft status and initial playing time...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28875360/-recurrent-instability-and-instability-arthropathy
#2
REVIEW
L Lacheta, S Siebenlist, A B Imhoff, L Willinger
Capsulolabral reconstruction (Bankart repair) is recommended as the first line treatment in young and functionally demanding active patients with anteroinferior shoulder instability, due to the high tendency to recurrent dislocation. This has become established both for arthroscopic and open primary shoulder stabilization with good clinical outcome; nevertheless, recurrence of dislocation is reported in up to 25% of patients. Risk factors for failed surgery are patient (e.g. young age, male gender and contact sports) and surgery (e...
September 5, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28840148/prevalence-and-impact-of-glenoid-augmentation-in-american-football-athletes-participating-in-the-national-football-league-scouting-combine
#3
Derrick M Knapik, Robert J Gillespie, Michael J Salata, James E Voos
BACKGROUND: Bony augmentation of the anterior glenoid is used in athletes with recurrent shoulder instability and bone loss; however, the prevalence and impact of repair in elite American football athletes are unknown. PURPOSE: To evaluate the prevalence and impact of glenoid augmentation in athletes invited to the National Football League (NFL) Scouting Combine from 2012 to 2015. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 1311 athletes invited to the NFL Combine from 2012 to 2015 were evaluated for history of either Bristow or Latarjet surgery for recurrent anterior shoulder instability...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28822639/level-of-the-subscapularis-split-during-arthroscopic-latarjet
#4
Alexandre Lädermann, Patrick J Denard, Paolo Arrigoni, Pablo Narbona, Stephen S Burkhart, Johannes Barth
PURPOSE: To determine the location of the subscapularis split during arthroscopic Latarjet created by an inside-out technique passing a switching stick from the posterior portal across the glenohumeral joint. METHODS: An inside-out technique was used to arthroscopically create a subscapularis split in 20 fresh-frozen human cadaveric shoulders. The distance between the exit point of the switching stick and the upper border of the subscapularis and the anterior circumflex vessels was measured arthroscopically and after open dissection...
August 16, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28822633/arthroscopic-latarjet-procedure-with-anterior-capsular-reconstruction-clinical-outcome-and-radiologic-evaluation-with-a-minimum-2-year-follow-up
#5
Yi-Ming Zhu, Chunyan Jiang, Guanyang Song, Yi Lu, Fenglong Li
PURPOSE: To investigate the clinical and radiographic outcomes of the modified arthroscopic Latarjet procedure at a minimum of 2 years after surgery. METHODS: Patients who had traumatic unidirectional anterior shoulder instability and treated with a modified arthroscopic Latarjet procedure were included. During surgery, the anterior capsule was preserved and repaired back to the glenoid after the coracoid transfer. The clinical results (range of motion, American Shoulder and Elbow Surgeons [ASES] score, Constant-Murley score, and Rowe score) and computed tomographic results were followed...
August 16, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28781973/comparison-of-30-day-morbidity-and-mortality-after-arthroscopic-bankart-open-bankart-and-latarjet-bristow-procedures-a-review-of-2864-cases
#6
Steven L Bokshan, Steven F DeFroda, Brett D Owens
BACKGROUND: Surgical intervention for anterior shoulder instability is commonly performed and is highly successful in reducing instances of recurrent instability. PURPOSE: To determine and compare the incidence of 30-day complications and patient and surgical risk factors for complications for arthroscopic Bankart, open Bankart, and Latarjet-Bristow procedures. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: All arthroscopic Bankart, open Bankart, and Latarjet-Bristow procedures from 2005 to 2014 from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) prospective database were analyzed...
July 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28756510/latarjet-procedure-evolution-of-the-bone-block-and-correspondent-clinical-relevance-a-clinical-and-radiological-study
#7
A Vadalà, R M Lanzetti, A De Carli, D Lupariello, M Guzzini, D Desideri, A Ferretti
PURPOSE: The purpose of this study was to correlate the bone block graft position, its dimension, its reabsorption and its integration with clinical outcome in patients operated on for recurrent anterior shoulder instability. METHODS: Twenty-four patients affected by recurrent anterior shoulder dislocation and operated on using the Latarjet procedure were enrolled in this study. At 6 and 24 months, patients were evaluated with the following scales: ROWE, WOSI, Oxford instability score, UCLA, DASH and Constant score...
July 29, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28717608/computerized-tomographic-assessment-and-clinical-evaluation-in-shoulder-instability-treated-with-the-latarjet-patte-procedure-using-one-screw-and-washer
#8
Fabio Cautiero, Raffaele Russo, Francesco Di Pietto, Giuseppe Sabino
BACKGROUND: The Latarjet-Patte (L-P) procedure is indicated in anterior instability of the shoulder with a glenoid or humeral bone loss. Our purpose is to evaluate clinical outcome and computerized tomographic (CT) findings as position and resorption of the graft and articular degeneration. METHODS: From 2006 to 2009 50 patients underwent to L-P, 48 was contacted by telephone and 26 were available for follow-up (3 to 6 years). Quick-DASH and Rowe scores was used, 22 patients perform CT...
January 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28712926/glenohumeral-arthritis-after-latarjet-procedure-progression-and-it-s-clinical-significance
#9
Young Moon Kee, Hwan Jin Kim, Jung Youn Kim, Yong Girl Rhee
BACKGROUND: The risk factors of glenohumeral arthritis after the Latarjet procedure remain relatively unexplored. The purposes of this study are to evaluate the clinical significance of glenohumeral arthritis after the Latarjet procedure, and to investigate risk factors associated with arthritis progression. METHODS: We evaluated 110 patients (110 shoulders) who underwent the Latarjet procedure for recurrent anterior shoulder instability. Patients had a mean age of 23...
July 13, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28706848/bipolar-bone-loss-of-the-shoulder-joint-due-to-recurrent-instability-use-of-fresh-osteochondral-distal-tibia-and-humeral-head-allografts
#10
Daniel B Haber, Anthony Sanchez, George Sanchez, Marcio B Ferrari, Sami Ferdousian, Matthew T Provencher
With increasing shoulder instability events, the likelihood of a bony lesion of the glenoid and/or humeral head rises. Although bone loss of either the glenoid or humeral head may result in recurrent instability, bipolar lesions have been shown, in particular, to result in a negative and additive effect on glenohumeral stability. In the case of a bipolar lesion comprising severe glenoid bone loss and an engaging, "off-track" Hill-Sachs lesion, the bony foundation of the glenohumeral joint is compromised and bony augmentation is necessary...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706833/latarjet-technique-for-treatment-of-anterior-shoulder-instability-with-glenoid-bone-loss
#11
Kevin J McHale, George Sanchez, Kyle P Lavery, William H Rossy, Anthony Sanchez, Marcio B Ferrari, Matthew T Provencher
Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Nonoperative management and arthroscopic treatment of glenohumeral instability have been associated with high rates of recurrence, particularly in the setting of glenohumeral osseous defects. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 20% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706800/arthroscopic-screw-removal-after-arthroscopic-latarjet-procedure
#12
Thibault Lafosse, Lior Amsallem, Damien Delgrande, Antoine Gerometta, Laurent Lafosse
Arthroscopic Latarjet procedure is an efficient and reliable approach for the treatment of shoulder instability. Nevertheless, the screws fixing the bone block may sometimes be responsible for pain and uncomfortable snapping in the shoulder that is triggered during active external rotation. We propose an all-arthroscopic technique for screw removal in cases of complications involving the screws from a Latarjet procedure. The all-arthroscopic screw removal is reliable and efficient. This procedure is indicated in more cases than thought because of the bone block resorption...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28688826/biomechanical-analysis-of-latarjet-screw-fixation-comparison-of-screw-types-and-fixation-methods
#13
Jason J Shin, Jason T Hamamoto, Timothy S Leroux, Maristella F Saccomanno, Akshay Jain, Mahmoud M Khair, Christen R Mellano, Elizabeth F Shewman, Gregory P Nicholson, Anthony A Romeo, Brian J Cole, Nikhil N Verma
PURPOSE: To compare the initial fixation stability, failure strength, and mode of failure of 5 different screw types and fixation methods commonly used for the classic Latarjet procedure. METHODS: Thirty-five fresh-frozen cadaveric shoulder specimens were allocated into 5 groups. A 25% anteroinferior glenoid defect was created, and a classic Latarjet coracoid transfer procedure was performed. All grafts were fixed with 2 screws, differing by screw type and/or fixation method...
September 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28642648/morphological-analysis-of-the-scapula-and-its-implications-in-bristow-latarjet-procedure
#14
Joana Daniela DE Oliveira Silva, Catarina Neves Damas, Márcia Christel DE Carvalho Sá, João Manuel Costa Ferreira Torres
OBJECTIVE: To assess which of two procedures, Bristow or Latarjet, is anatomically the most appropriate for the general population . METHODS: One thousand one hundred and thirty two shoulders were evaluated by an observer who measured the following coracoid process parameters - length, angle and minimum thickness - through Computed Tomography (CT) analysis. Statistical analysis was carried out by ANOVA and Bland-Altman tests . RESULTS: The mean length, angle and minimum thickness of the coracoid were 27...
January 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28623079/restoration-of-articular-geometry-using-current-graft-options-for-large-glenoid-bone-defects-in-anterior-shoulder-instability
#15
Laurent B Willemot, Mohsen Akbari-Shandiz, Joaquin Sanchez-Sotelo, Kristin Zhao, Olivier Verborgt
PURPOSE: The purpose of this cadaveric study was to compare standard and modified coracoid transfer procedures, bicortical and tricortical iliac crest autografts, and tibial plafond and glenoid allografts with respect to glenoid surface curvature restoration. METHODS: Computed tomography scans of 8 cadaveric shoulders were acquired in 9 conditions: (1) intact, (2) 25% width defect, (3) classic Latarjet, (4) modified congruent-arc Latarjet, (5) tricortical iliac crest inner table, (6) outer table, (7) bicortical iliac crest, (8) distal tibia, and (9) glenoid allograft...
September 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28601489/is-the-subscapularis-normal-after-the-open-latarjet-procedure-an-isokinetic-and-magnetic-resonance-imaging-evaluation
#16
Alexandre Caubère, Damien Lami, Pascal Boileau, Sébastien Parratte, Matthieu Ollivier, Jean-Noël Argenson
BACKGROUND: The Latarjet procedure is considered to be a violation of the subscapularis muscle. This study evaluated the postoperative status of the subscapularis through isokinetic and magnetic resonance imaging analysis after splitting. We hypothesized that compared with a healthy contralateral shoulder, there would be satisfactory recovery of subscapularis strength at the cost of some fatigability and some mild fatty infiltration. MATERIALS AND METHODS: This was a case-control retrospective study of patients who underwent a Latarjet procedure between January 2013 and January 2015...
June 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28580270/anatomical-glenoid-reconstruction-using-fresh-osteochondral-distal-tibia-allograft-after-failed-latarjet-procedure
#17
Anthony Sanchez, Marcio B Ferrari, Ramesses A Akamefula, Rachel M Frank, George Sanchez, Matthew T Provencher
In the treatment of recurrent anterior glenohumeral instability, the Latarjet procedure has been shown to fail. This results in a need for viable revisional procedures for patients who present with this challenging pathology. We report our preferred technique for anatomical glenoid reconstruction using a fresh osteochondral distal tibia allograft after a failed Latarjet procedure. This bony augmentation technique employs a readily available dense, weight-bearing osseous tissue source that has excellent conformity, as well as the added benefit of a cartilaginous surface to correct chondral deficiencies...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28580254/use-of-a-cutting-instrument-for-fresh-osteochondral-distal-tibia-allograft-preparation-treatment-of-glenoid-bone-loss
#18
Marcio B Ferrari, Anthony Sanchez, George Sanchez, Ramesses Akamefula, Bradley M Kruckeberg, Matthew T Provencher
Glenoid bone loss presents a major risk for glenohumeral instability that has been well recognized as a cause of instability recurrence after attempted Bankart repair, and although most surgeons consider the Latarjet procedure as the gold standard, failures can occur with this technique as well and the search for alternative grafts to address glenoid bone loss is a major topic of ongoing research in the field. Of these techniques, the distal tibia allograft (DTA) has been shown to provide an excellent option to restore glenoid biomechanics, due to its congruency with the humeral head, dense bony quality, and the facility of harvest...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28549359/-bristow-latarjet-technique-for-anterior-glenohumeral-instability
#19
I Jiménez, A Marcos-García, J Medina, G Muratore-Moreno, J Caballero-Martel
BACKGROUND: In treatment of anterior shoulder instability, many surgical techniques have been described, all of them with advantages and disadvantages. Our goal is to study the half term results on patients that underwent open Bristow-Latarjet surgery considering the preoperative ISIS value. MATERIAL AND METHODS: This is a retrospective study of 33 patients which underwent open Bristow-Latarjet surgery in our center between 2005 and 2012. Average age of 33.2 years and follow up of 75 months...
November 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28507972/bilateral-coracoid-avulsion-fractures-with-unilateral-anterior-instability-with-glenoid-bone-loss-use-of-avulsed-fragment-for-reconstruction-of-glenoid
#20
Prateek Kumar Gupta, Ashis Acharya, Amit Mourya
INTRODUCTION: Coracoid fractures are often missed since the fracture is not visualized in a routine anteroposterior view of the shoulder and special views are not ordered. Shoulder dislocation is common but it is rare to have a dislocation with a coracoid fracture. The purpose of this paper is to present the rare occurrence of bilateral coracoid fractures in a patient with unilateral anterior shoulder instability managed using the same fractured coracoid fragment by the latarjet procedure...
November 2016: Journal of Orthopaedic Case Reports
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