Anteroinferior shoulder instability treatment with arthroscopic latarjet

Abstract

Anteroinferior shoulder dislocation is the most popular dislocation of a major joint, but treatment remains controversial. Treatment options have expanded considerably in the past 20 years, and arthroscopy has led to the improved diagnosis of previously unrecognized soft-tissue lesions underlying many cases of instability. Management of shoulder instability in young collision athletes with soft-tissue stability alone remains problematic with high revision and recurrent dislocation rates. The arthroscopic Latarjet technique is our preferred treatment option, especially for lesions with significant bone loss and for athletes involved in contact sports or throwing. The ability of a surgeon to visualize the shoulder from different angles via various portals is crucial to the outcome of the surgery. The indication, our arthroscopic technique, and considerations for return-to-competition are discussed in this chapter.