Primary Latarjet for Anterior Shoulder Instability in Adolescents – An Unstable Conclusion. Commentary and Perspective on “Long-term Results and Failure Analysis of the Open Latarjet Procedure and Open Bankart Repair in Adolescents

Authors:

Hanson JA, Foster MJ, Pearce SS, Millet PJ

Abstract:

Anterior shoulder instability is a common pathology, particularly among active adolescents. In recent decades, our understanding of anterior shoulder instability and its management has evolved, with more emphasis on osseous abnormalities of the glenoid and humeral head, multidirectional instability, and patient factors that increase the risk of recurrence¹. Although the arthroscopic Bankart repair is often considered the first-line treatment for anterior shoulder instability, concerns regarding high failure rates exist, specifically in younger patients and/or those with >15% glenoid bone loss¹. The Latarjet procedure, which functions to improve stability by increasing the glenoid width and by using the sling effect, is often considered an effective treatment option in these cases². As a result of the complexity of many of the factors that contribute to anterior shoulder instability, optimal surgical management remains controversial.

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Primary Latarjet for Anterior Shoulder Instability in Adolescents – An Unstable Conclusion. Commentary and Perspective on “Long-term Results and Failure Analysis of the Open Latarjet Procedure and Open Bankart Repair in Adolescents.