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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]
Making it an uncommon cause of anterior shoulder instability. Avulsion of this ligamentous complex may occur in three sites: glenoid insertion (40%), the midsubstance (35%) and the humeral insertion (25%). [3] Bony humeral avulsion of the glenohumeral ligament (BHAGL) refers when we have HAGL with bony fracture. [3]
A Hill–Sachs lesion, or Hill–Sachs fracture, is a cortical depression in the posterolateral head of the humerus. It results from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly.
When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it. It is an indication for surgery and often accompanied by a Hill-Sachs lesion, damage to the posterior humeral head. [5] A bony Bankart is a Bankart lesion that includes a fracture of the anterior-inferior glenoid cavity of the ...
The glenoid labrum (glenoid ligament) is a fibrocartilaginous (but not fibrocartilage, as previously thought) structure attached around the rim of the glenoid cavity on the shoulder blade. The shoulder joint is considered a ball-and-socket joint .
Open Repairs (for dislocations with fractures, etc.) Biceps Tenodesis Surgery; Surgical treatment of the shoulder due to potential biceps tendonitis or a tear of the labrum otherwise known as a SLAP tear. The long head of the biceps passes through the shoulder joint and attaches to the labrum.
The glenoid and labrum are roughened to increase contact surface area and promote re-growth. Locations for the bone anchors are selected based on number and severity of tear. A severe tear involving both SLAP and Bankart lesions may require seven anchors. Simple tears may only require one. The glenoid is drilled for the anchor implantation.
The glenoid cartilage underneath the labrum in the glenohumeral (GH) joint is disrupted by glenolabral articular disruption. [5] The articulation of the humeral head inside the glenoid fossa of the scapula forms the GH joint itself, which is a synovial ball and socket joint.