Coracoid Fracture Following Latarjet Failure A Case Report

The Latarjet procedure involves the transfer of the coracoid process with its soft tissue attachments, thereby providing both bony and soft tissue articular reinforcement for glenohumeral stabilization. Most studies show positive outcomes with this procedure and complications at rates as low as 1%,...

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Bibliographic Details
Published in:Bulletin of the Hospital for Joint Diseases (2013) 2016-11, Vol.74 (4), p.318-322
Main Authors: Capogna, Brian, Ryan, William E, McGee, Alan W, Jazrawi, Laith M
Format: Article
Language:English
Subjects:
Bone Transplantation - adverse effects
Coracoid Process - diagnostic imaging
Coracoid Process - injuries
Coracoid Process - transplantation
Fractures, Bone - diagnostic imaging
Fractures, Bone - etiology
Fractures, Bone - surgery
Humans
Joint Instability - diagnosis
Joint Instability - physiopathology
Joint Instability - surgery
Male
Middle Aged
Reoperation
Shoulder Joint - physiopathology
Shoulder Joint - surgery
Shoulder Pain - etiology
Tomography, X-Ray Computed
Transplantation, Autologous
Treatment Failure
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Summary:The Latarjet procedure involves the transfer of the coracoid process with its soft tissue attachments, thereby providing both bony and soft tissue articular reinforcement for glenohumeral stabilization. Most studies show positive outcomes with this procedure and complications at rates as low as 1%, predominately secondary to technical error. We present a case of recurrent anterior instability after two attempts at soft tissue stabilization (arthroscopic labral repair followed by open inferior capsular shift) in which an open Latarjet procedure was performed followed by subsequent revision secondary to coracoid autograft fracture. The case presented specifically highlights the need to appropriately identify the "bony margins" of the coracoid prior to drilling to make certain that drill holes are not eccentrically placed.
ISSN:2328-5273