The Latarjet procedure is a surgical procedure to manage chronic shoulder dislocations especially in the setting of glenoid bone deficiency. The procedure is called Latarjet procedure after Dr. Michel Latarjet who first performed the procedure in 1954.

Key Aspects of the Latarjet Procedure:Key Aspects of the Latarjet Procedure:

1.     Indication:

·        Anterior shoulder instability with recurrence.

·        Extensive damage to the glenoid bone.

·        History of previous shoulder stabilization surgeries that were unsuccessful.

2.     Procedure:

·        A segment of the coracoid process (a small projection on the scapula) with its attached muscle (the conjoined tendon) is placed in front of the glenoid.

·        This bony graft widens the anteroposterior width of the glenoid, which predisposes the humeral head to dislocation.

·        The conjoined tendon serves as a dynamic stabilizer and enhances the stability of the shoulder joint.

3.     Benefits:

·        Acts as a bony block to prevent dislocation and at the same time offers the benefit of a sling from the transferred muscles.

·        Good outcomes in preventing repeated dislocations.

4.     Complications:

·        Risk of graft failure or improper healing of the graft.

·        Nerve injury, especially of the musculocutaneous and axillary nerves.

·        Stiffness or reduced mobility of the shoulder after surgery.

·        Infection or graft resorption.

5.     Rehabilitation:

·        It is important to have postoperative rehabilitation in order to achieve the best result.

·        Immobilization of the shoulder area and then a progressive physical therapy to improve joint mobility and muscle tone.

Latarjet procedure is most recommended for patients with bone deficiency or those who have not benefited from other surgeries. It is a rather complex surgery, but the results can be very stable for the shoulder in the long term.