Latarjet for Anterior Shoulder Instability Literature Shows Limited Reporting of Outcomes in Females: Females Show Similar Outcomes but Higher Rate of Emergency Room Visits and Possible Higher Rates of Complications.

It has been reported that use of the Latarjet procedure for anterior shoulder instability from 2008-2019 increased 250%. With the rise in utilization, it is imperative to minimize complications. At present, the majority of the literature focuses on male patients, with scant evidence regarding female patients. Outcomes are similar comparing female to male patients, but female patients have higher emergency department postoperative visits than males, requiring specific attention during the post-operative period. In addition, literature reporting complications in females versus males after Latarjet are conflicting; some studies show similar rates of complications, while other studies show higher rates of adverse events in females. Prior consensus statements recommended a) careful dissection; b) identifying the musculocutaneous and axillary nerves; c) preventing overlateralization of the graft; d) tranexamic acid to reduce blood loss; e) accurate screw placement; and f) careful preparation of the glenoid neck and coracoid to reduce rates of non-union or delayed union.