Arthroscopic Latarjet Procedure

Subscapularis structural integrity and function after arthroscopic Latarjet procedure at a minimum 2-year follow-up

“…The procedure was performed according to the technique described by Lafosse et al 21,22,23 Subscapularis muscle split was performed in the direction of the longitudinal axis of its fibers with radiofrequency device and was not closed after introducing the graft. Data regarding intra-and postoperative complications were recorded.…”

“…1,7,31 Over the past decade, the all-arthroscopic Latarjet procedure has become an option as it offers the same benefits as the open procedure and has advantages that include better assessment of concomitant intra-articular pathology and direct visual control of graft positioning. 18,22,23,33 Both open and arthroscopic procedures require performing a split of the subscapularis muscle in order to transfer the coracoid graft from its native location to the glenoid. 33 Function of the subscapularis muscle has been widely studied after total shoulder replacements, open capsular shifts, Bankart repair, and more recently after open Latarjet procedures.…”

Scapular position after the open Latarjet procedure: results of a computed tomography scan study

“…3,9 In addition, some surgeons advocate performance of the Latarjet procedure by arthroscopic techniques. 2,8 However, some concerns still exist about possible intraoperative complications, 6 postoperative complications, 7,12 arthritic changes in the glenohumeral joint, 13 and potential negative effects induced by distorting the normal anatomy (pectoralis minor detachment, coracoid transfer, and subscapularis split). 5 The aim of this study was to investigate the effects of the Latarjet procedure on scapular position in the axial plane.…”

Relationship between the Thickness of the Coracoid Process and Latarjet Graft Positioning—An Anatomical Study on 70 Embalmed Scapulae

“…Beyond contention, abrasion of the attachment site of the coracoid graft is necessary to enhance bone healing [22,25,37]. Hantes et al [32] demonstrated that the Latarjet procedure with the graft in lying position sufficiently restores the anatomy of the glenoid cavity in a model based on anatomic specimens with a 25% anterior-inferior bone defect.…”

“…Most clinical trials describe a flush position of the coracoid bone block, lying with its under-surface attached to the scapular neck, so that it can be deemed as the current "Classic Latarjet position" [18,19,22,[25][26][27]. De Beer modified the graft fixation technique to the "Congruent arc-Latarjet" [28,29], where the graft is rotated 90 • externally to the scapular plane, so that the under-surface lies in line with the glenoid cavity and becomes the articular side of the graft.…”