Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation with Bankart Lesion: A Case Report

Abstract

Background: Anterior shoulder dislocation is very common among active young adults, especially due to high incidence of trauma. Recurrent dislocation after initial dislocation indicates shoulder instability with potentially disabling pathological lesion, like Bankart lesion. Surgical treatment is the preferred treatment option, including Latarjet procedure. This study aims to review further information on the excellent use of Latarjet procedure for recurrent anterior shoulder dislocation.

Case Report: We present a case of recurrent anterior shoulder dislocation with Bankart lesion in a 26 years old active male. He had minimum one shoulder dislocation each year following initial traumatic dislocation from a motorcycle accident nine years ago. Apprehension and relocation test is positive with good range of motion. Open Latarjet procedure is chosen and performed successfully with good 6-months post-operative results.

Discussion: Despite being highly praised of the benefits, many concern arises about complications of Latarjet procedure, including: recurrences from coracoid non-union, capsular failure, infection, screw failure, neurological complications, hematoma formations, joint stiffness, etc. In fact, precautions on patient selection and surgical techniques can be done to avoid these complications and still benefited Latarjet procedure.

Conclusion: Latarjet procedure is a safe and reliable treatment option for recurrent anterior shoulder dislocation. Proper patient selection, good surgical understanding, avoidance of potential complications and post-operative follow up is the key for excellent surgery and outcomes.