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The Latarjet operation, also known as the Latarjet-Bristow procedure, is a surgical procedure used to treat recurrent shoulder dislocations, typically caused by bone loss or a fracture of the glenoid. The procedure was first described by French surgeon Dr. Michel Latarjet in 1954. [1]
Shoulder replacement is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage. [1] Shoulder replacement surgery is an option for treatment of severe arthritis of the shoulder joint.
A dislocated shoulder can be treated with: arthroscopic repairs; repair of the glenoid labrum (anterior or posterior) [1] In some cases, arthroscopic surgery is not enough to fix the injured shoulder. When the shoulder dislocates too many times and is worn down, the ball and socket are not lined up correctly.
As reverse shoulder replacement has become more popular, the indications have expanded to include shoulder “pseudoparalysis” due to massive rotator cuff tears, shoulder fractures, severe bone loss on the scapula or humerus precluding the use of standard implants and failed prior shoulder replacement procedures. [6]
Alternatively, an initial surgery may be performed to remove previous prosthetic material, and the new prosthesis is then inserted in a separate surgery at a later time. In such cases, especially when complicated by infection, a spacer may be used, which is a sturdy mass to provide some basic joint stability and mobility until a more permanent ...
Cunningham technique. The Cunningham technique was originally published in 2003 and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. [7] If performed correctly most patients do not require analgesia for the performance of this technique.
Arthroscopic techniques involving the shoulder are relatively new and many surgeons prefer to repair a recurrent dislocating shoulder by the time-tested open surgery under direct vision. There are usually fewer repeat dislocations and improved movement following open surgery, but it may take a little longer to regain motion. [citation needed]
Shoulder dislocation is a common complication of upper limb trauma (arm pulled while in abduction or direct impact to shoulder) resulting with the humeral head sitting anteriorly out of the glenoid fossa. Technique is as follows: [2] Step 1 Sit patient up (without slouching, towel or pillow down spine) and place into analgesic position. ‘Hold ...