Today’s article “Bankart Repair Versus Latarjet Procedure for Recurrent Anterior Shoulder Instability” is out of Rowley Bristow Orthopaedic Center, Ashford and St Peter’s University Hospitals, Chertsey, UK.
Most shoulder dislocations occur anteriorly, meaning the humerus is anterior in relation to the glenoid. When this happens the labrum of the shoulder will tear, and this may also result in bony injuries or defects to the humerus and glenoid. Having more than one dislocation, or recurrent instability, may lead to more bony injury to the glenoid compared to a single dislocation. Recurrent instability is also more common in young individuals.
Shoulder dislocations occur commonly in contact athletes. Here is an example of a dislocation of a shoulder dislocation in the news: https://www.si.com/nfl/buccaneers/news/tampa-bay-buccaneers-jordan-whitehead-undergoes-shoulder-surgery-report.
This article compares two surgical techniques of addressing recurrent shoulder instability. The Bankart repair tensions the anterior shoulder capsule and repairs the torn labrum whereas the Latarjet transfers a portion of the coracoid (a small portion of the scapula) to the glenoid. The results did show that the Latarjet had a lower redislocation rate at 6-10 years post op.
Currently the Bankart repair is more common as a primary procedure in the US whereas the Latarjet is common in France. However, a determinant in the decision-making process for which procedure to undertake is the amount of glenoid bone loss and this was not reported. The paper did report overall good outcomes following both Bankart repair and Latarjet.
If you have had a shoulder dislocation or shoulder instability and would like to know what treatment option is best in your case, you can my office at 512-244-4272 or schedule an online appointment.