Home / 2025 Congress / Abstracts

Distance To Dislocation And Recurrent Shoulder Instability After Latarjet

myRating

Distance To Dislocation And Recurrent Shoulder Instability After Latarjet

Scott Feeley, MD, UNITED STATES Aidan McQuade, MS, UNITED STATES Benjamin Hoyt, MD, UNITED STATES Conor F McCarthy, MD, UNITED STATES Daniel Lawrence Rodkey, MD, UNITED STATES Kelly Kilcoyne, MD, UNITED STATES Jon F. Dickens, MD, UNITED STATES

Walter Reed National Military Medical Center, Bethesda, MD, UNITED STATES

2025 Congress ePoster Presentation 2025 Congress Not yet rated

Anatomic Location

Shoulder Glenohumeral

Diagnosis / Condition

Instability Dislocation

Treatment / Technique

Repair / Reconstruction Autograft Failed

Anatomic Structure

Bones

Summary: In patients undergoing primary Latarjet, postoperative DTD was associated with recurrent instability and only found with postoperative DTD <8.5mm.

OBJECTIVES: There is conflicting evidence on the distance to dislocation (DTD) for Hill-Sachs lesions and its impact on stability. While the Latarjet procedure reconstructs large glenoid defects and decreases the DTD, its impact has not been evaluated across DTD values. Therefore, our aim was to determine the relationship between DTD and recurrent shoulder instability after Latarjet.

Methods

We retrospectively analyzed open Latarjet procedures in the military from 2010-2018. We excluded patients without computed tomography (CT) or two year follow-up. We included both primary and revision Latarjets, but all were the index bone block procedure. Preoperative CT was analyzed for DTD and coracoid thickness to calculate the postoperative DTD. On postoperative CT, we classified graft resorption. Risk factors for the primary outcome of recurrent instability were assessed with multivariate analysis. A receiver operating characteristic curve determined the predictive value of DTD for recurrent instability.

Results

We analyzed 78 Latarjet procedures: 31 primaries and 47 revisions, which differed by GBL, DTD, and presence of off-track lesions. The overall cohort had median age 24.0 years (IQR 21.6-29.3), GBL 22.6% (IQR 17.4-28.0), and follow-up 6.4 years (IQR 4.1-9.4). Graft thickness was 11.4 ± 1.6mm. Preoperative DTD of 2.6 ± 8.1mm improved to 13.9 ± 8.7mm postoperatively (p<0.0001). There were 26 near-track and 30 off-track lesions preoperatively. After Latarjet, 1/30 off-track lesions remained off-track.

Overall, 20 patients (25.6%) had recurrent instability. Preoperative DTD was not associated with recurrent instability in revision Latarjet (p=0.409) and did not reach statistical significance in primary Latarjet (p=0.053). Postoperative DTD was associated with recurrence in primary (p=0.009) but not revision Latarjet (p=0.438). For primary Latarjet, postoperative DTD <8.5mm was 100% sensitive and 58.3% specific for recurrent instability. On multivariate analysis of recurrent instability when considering age, sex, DTD, resorption, primary vs. revision, follow-up, and GBL, no factor reached statistical significance.

Conclusion

In patients undergoing primary Latarjet, postoperative DTD was associated with recurrent instability and only found with postoperative DTD <8.5mm.

The Impact Of Glenoid Concavity And Version On Anterior Shoulder Stability In The Clinical Setting ePoster Presentation Sebastian Oenning, MD, GERMANY Clara de Castillo, MD, GERMANY Elena Jacob, MD, GERMANY Jens Wermers, Prof., GERMANY Michael J. Raschke, MD, Prof., GERMANY J. Christoph Katthagen, MD, GERMANY
Sex-Specific Outcomes Of Arthroscopic Anatomic Glenoid Reconstruction For Anterior Shoulder Instability ePoster Presentation Mackenzie Hancock, MSc, CANADA Noah Karabanow, BSc (candidate), CANADA Devan Pancura, MSc, CANADA Ivan Wong, MD, FRCSC, MACM, Dip. Sports Med, CANADA
Dynamic Anterior Stabilization For Anterior Shoulder Instability: A Meta-Analysis And Systematic Review Of Clinical And Biomechanical Studies ePoster Presentation Ashraf T. Hantouly, MD, MSc, QATAR Sathish Muthu, MS Ortho., DNB Ortho., MNAMS., , INDIA Matthew J Smith, MD Bashir Zikria, MD MSc., UNITED STATES Khalid Alkhelaifi, MD, QATAR Gazi Huri, Prof. MD, QATAR Abdulaziz F Ahmed, MD, UNITED STATES
The Coraco-Gleno-Scapular Line: A Novel Tool For Evaluating Glenoid Bone Defects In Shoulder Instability ePoster Presentation Subramanian K.N, MBBS,MS,MRCSEd,M.ChOrth,FRCS Orth,CCTOrth(UK), INDIA Saseendar Shanmugasundaram, MBBS, MS, DNB, MNAMS, Dip SICOT, INDIA
Biomechanical Evaluation and Surface Analysis of Glenoid Reconstruction Using the Subtalar Joint Allograft for Significant Glenoid Bone Loss in Recurrent Shoulder Instability: A Novel Alternative Graft Option ePoster Presentation Phob Ganokroj, MD, THAILAND Justin Hollenbeck, MS, UNITED STATES Marco Adriani, MD, ITALY Ryan J. Whalen, BS, UNITED STATES Amelia Drumm, BA, UNITED STATES Wyatt Buchalter, BS, UNITED STATES Trevor McBride, MD, UNITED STATES Marco-Christopher Rupp, MD, GERMANY Matthew T. Provencher, MD, UNITED STATES
Long-Term Functional, Sports- And Work-Related Outcomes After Arthroscopic Capsulolabral Revision Repair For Recurrent Anterior Shoulder Instability: A Minimum 20-Year Follow-Up ePoster Presentation Lukas Nawid Muench, MD, GERMANY Isabella Kuhn, cand. med., GERMANY Katrin Mitterpleininger, MD, GERMANY Christoph Bartl, MD, PhD, GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY Bastian Scheiderer, MD, GERMANY Sebastian Siebenlist, MD, MHBA, Prof., GERMANY Marco-Christopher Rupp, MD, GERMANY
An Imaging-Guided Posterior Working Portal: Technique And Radiologic Correlation ePoster Presentation Benjamin Hoyt, MD, UNITED STATES Scott Feeley, MD, UNITED STATES Conor F McCarthy, MD, UNITED STATES Sarah Walsh, MD, PhD, UNITED STATES Bobby Yow, MD, UNITED STATES Lance LeClere, MD, UNITED STATES Robert Waltz, MD, UNITED STATES Ivan Wong, MD, FRCSC, MACM, Dip. Sports Med, CANADA Jon F. Dickens, MD, UNITED STATES
Difference In The Prevenance Of On-Track And Off-Track Lesions Amongst Males And Females With Shoulder Instability ePoster Presentation Giovanna Medina, MD, MSc, PhD, UNITED STATES Jillian Mazzocca, B.A., UNITED STATES Brian S Tao, BA, UNITED STATES Serafina Faith Zotter, BS, UNITED STATES Elizabeth G Matzkin, MD, UNITED STATES
Synthetic extra-articular reinforcement ligamentoplasty for Recurrent Shoulder Instability in hyperlaxity population: Up To 30 Years Follow-Up ePoster Presentation Sergio González, MD, SPAIN Jaime Oraa Apraiz, MD, SPAIN Diego Delgado, PhD, SPAIN Mikel Sánchez, MD, PhD, SPAIN
Recurrent Shoulder Dislocations Prior to Stabilization Procedure is Associated with Increased Risk of Reoperation for Instability: A Large Matched Cohort Insurance Database Analysis ePoster Presentation Catherine Hand, BS, UNITED STATES Camden Bohn, BA, UNITED STATES Daanish Khazi-Syed, BS, UNITED STATES Josh Chang, BS, UNITED STATES Elyse Berlinberg, BS, UNITED STATES Randy Mascarenhas, MD, FRCSC, CANADA Brian Forsythe, MD, UNITED STATES
Sex-Specific Differences in Outcomes of Shoulder Instability Among Male and Female Patients: A Systematic Review ePoster Presentation Kenneth T Nguyen, BS, UNITED STATES Patrick C. Ryan, MS, UNITED STATES Erin L Brown, BA, UNITED STATES Mia Rumps, MS, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES
Comparison Of Inlay Dynamic Anterior Stabilization With Biceps Long Head Plus Remplissage Vs. Bankart Repair Plus Remplissage For Patients With Subcritical Glenoid Bone Loss And On-Tract Hill-Sachs Lesions: One-Year Clinical Results ePoster Presentation Joe Chih-Hao Chiu, MD, PhD, TAIWAN
Clinical Outcomes Of Proximal Tibiofibular Joint Instability: Treatment Experiences In An Asian Population ePoster Presentation Yueh Chen, PhD., TAIWAN Chih-Kai Hong, MD, TAIWAN Kai-Lan Hsu, MD, TAIWAN Fachuan Kuan, MD, PhD, TAIWAN Hao-Ming Chang , MD, TAIWAN Daniel Chiung-Jui Su, MD, TAIWAN Wei-Ren Su, MD, MSc, TAIWAN Ing-Shiou Hwang, PhD,Prof, TAIWAN
Long-Term Clinical Outcomes Of Screw Removal Vs. Unrevised Patients Following Latarjet Surgery For Anterior Shoulder Instability A Matched-Pair Analysis ePoster Presentation Johannes Barth, MD, Prof., FRANCE Juan Enrique Cassinelli, MD, SPAIN Clémentine Rieussec, MD, FRANCE Matias Hoffman, MD, FRANCE Clément Horteur, MD, FRANCE
The Impact of Social Determinants of Health on Postoperative Outcomes Following Arthroscopic Bankart Repair ePoster Presentation Bailey Gentile , MPH, MS, UNITED STATES Sahil Sheth, MS, UNITED STATES Benjamin Michael Varieur, BS, UNITED STATES Mia Rumps, MS, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES
Arthroscopic Repair of HAGL Lesion In Patients With Shoulder Instability. Clinical And Functional Results ePoster Presentation Pablo A. Narbona, MD, ARGENTINA Felipe Manuel Pauletti, MD, ARGENTINA Martin Vaquer, Md, ARGENTINA Guillermo Ruffini, ARGENTINA Manuel Olmos, MD, ARGENTINA Nicolas Ignacio Carranza, MD, ARGENTINA
Distal Tibial Allograft In The Management Of Recurrent Anterior Instability - A Systematic Review Of Biomechanical, Radiological And Clinical Outcomes ePoster Presentation Tahir Khaleeq, MBBS, MRCSED, PG DIP MED ED , UNITED KINGDOM Robert Jordan, MB BS, MSc, FRCS (Tr&Orth), UNITED KINGDOM Tanujan Thangarajah , MB ChB (hons), MSc, PhD, FRCS (Tr&Orth), MAcadMEd, UNITED KINGDOM Adam Kwapisz, MD, PhD, POLAND Hubert J. Laprus, MD, PhD, POLAND Jarret M. Woodmass, MD, FRCSC, CANADA Peter D'Alessandro, MBBS (Hons), FAOrthA, FRACS, AUSTRALIA Shahbaz S. Malik, BSc, MB BCh, MSc (Orth Engin), LLM, FRCS (Tr&Orth), UNITED KINGDOM

Menu

Search Filters

Distance To Dislocation And Recurrent Shoulder Instability After Latarjet

Distance To Dislocation And Recurrent Shoulder Instability After Latarjet

Methods

Results

Conclusion

Shoulder Instability ePosters

Sign-in to ISAKOS

Distance To Dislocation And Recurrent Shoulder Instability After Latarjet

Distance To Dislocation And Recurrent Shoulder Instability After Latarjet

Methods

Results

Conclusion